- Enrollment id
- O20220519000180
- Enrollment state
- CA
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1023682747
- Multiple npi flag
- N
- Ccn
- 757336
- Associate id
- 2466839170
- Organization name
- MARVI HOME HEALTH INC
- Incorporation date
- 2021-04-14
- Incorporation state
- CA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 3171 LOS FELIZ BLVD
- Address line 2
- STE 202C
- City
- LOS ANGELES
- State
- CA
- Zip code
- 900391536