Provider Demographics
NPI:1447246483
Name:MARSALLE CENTER ASSOCIATES
Entity type:Organization
Organization Name:MARSALLE CENTER ASSOCIATES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHRYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-738-9400
Mailing Address - Street 1:2131 O ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1008
Mailing Address - Country:US
Mailing Address - Phone:202-785-2577
Mailing Address - Fax:202-331-0857
Practice Address - Street 1:204 MONROE ST
Practice Address - Street 2:SUITE 201
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-4425
Practice Address - Country:US
Practice Address - Phone:301-738-9400
Practice Address - Fax:301-738-7145
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-26
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHFD020001314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC095031Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER