Provider Demographics
NPI:1164300133
Name:MARLU HEALTH LLC
Entity type:Organization
Organization Name:MARLU HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANA
Authorized Official - Middle Name:MAY
Authorized Official - Last Name:EADEH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-592-8373
Mailing Address - Street 1:1201 S ROBERT ST #3
Mailing Address - Street 2:#18051
Mailing Address - City:WEST ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55118
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1201 S ROBERT ST #3
Practice Address - Street 2:#18051
Practice Address - City:WEST ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55118
Practice Address - Country:US
Practice Address - Phone:952-592-8373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-26
Last Update Date:2025-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center