Provider Demographics
NPI:1033559349
Name:MARQUIS CARE
Entity type:Organization
Organization Name:MARQUIS CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HUMAN RESOURCES
Authorized Official - Prefix:
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:
Authorized Official - Last Name:GATCHET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:541-736-2724
Mailing Address - Street 1:25 U ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OR
Mailing Address - Zip Code:97477-2155
Mailing Address - Country:US
Mailing Address - Phone:541-731-9917
Mailing Address - Fax:
Practice Address - Street 1:25 U ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OR
Practice Address - Zip Code:97477-2155
Practice Address - Country:US
Practice Address - Phone:541-731-9917
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-01
Last Update Date:2013-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR201330218LPN314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility