Provider Demographics
NPI:1770455479
Name:MLMHHC SERVICES LLC
Entity type:Organization
Organization Name:MLMHHC SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSE PRACTICAL NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:MARTINA
Authorized Official - Middle Name:L
Authorized Official - Last Name:MARCINKO
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:315-783-3259
Mailing Address - Street 1:19378 COUNTY ROUTE 162
Mailing Address - Street 2:
Mailing Address - City:WATERTOWN
Mailing Address - State:NY
Mailing Address - Zip Code:13601-5449
Mailing Address - Country:US
Mailing Address - Phone:315-783-3259
Mailing Address - Fax:
Practice Address - Street 1:19378 COUNTY ROUTE 162
Practice Address - Street 2:
Practice Address - City:WATERTOWN
Practice Address - State:NY
Practice Address - Zip Code:13601-5449
Practice Address - Country:US
Practice Address - Phone:315-783-3259
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty