MARCIA MARIE LONG


Address: 454 Georgetown Shortcut Rd, Crescent City, FL 32112-4504
Phone: 3864672095

MARCIA MARIE LONG (NPI# 1487278628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487278628
Entity Type Individual
Full Name MARCIA MARIE LONG
Practice Address 454 Georgetown Shortcut Rd
Crescent City
FL 32112-4504
Practice Telephone 3864672095
Mailing Telephone 3864672095
Enumeration Date 2020-06-03
Last Update Date 2020-06-03
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
FL Nursing Service Related Providers

Other Providers MARCIA LONG

NPI Name Taxonomy Address Enumeration
1639446016 Marcia Nicole Long Social Worker 10018 Kennerly Rd, Saint Louis, MO 63128-2106 2011-11-29
1215131636 Marcia Gail Long Social Worker 1001 Washington St, Suite 8, Eugene, OR 97401-3419 2007-06-11

Office Location

Street Address 454 GEORGETOWN SHORTCUT RD
City CRESCENT CITY
State FL
Zip Code 32112-4504

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316346273 Regina Victoria Folen Behavioral Analyst 405 S Summit St Ste E, Crescent City, FL 32112 2014-08-17
1912179698 Charlene Judge Massage Therapist 10 Central Ave., Crescent City, FL 32112 2008-04-02
1740404078 Vicente Mercado Specialist 405 South Summit St., Unit F, Crescent City, FL 32112 2007-04-11
1750404547 Leo Mancini Specialist 405 S Summit Street, Crescent City, FL 32112 2007-04-09
1962525675 Marcia Anne Harwell Specialist 405 South Summit Street, Crescent City, FL 32112 2007-04-09
1972663342 Southeast Sleep Consultants Clinical Medical Laboratory 1125c N Summitt St., Crescent City, FL 32112 2006-12-08
1215429436 St John's Recovery Place LLC Substance Abuse Rehabilitation Facility 1125 N Summit St, Crescent City, FL 32112-1721 2018-06-04
1336160704 Winn Dixie Stores Inc Durable Medical Equipment & Medical Supplies 1115 N Summit St, Crescent City, FL 32112-1721 2006-07-21
1760011134 Joanne Jensen Pharmacist 1115 N Summit St, Crescent City, FL 32112-1721 2020-04-07
1760699250 Thomas P Ball Pharmacist 1115 N Summit St, Crescent City, FL 32112-1721 2007-05-16
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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1699388801 Tara Danielle Burgett Technician 6437 Maddox Rd, Milton, FL 32570-6327 2020-08-26
1932711678 Julie Jayne Christofferson Technician 4009 Deerwood Cir, Pace, FL 32571-1108 2020-08-22
1386252062 Rosa M Stephens Technician 6002 Vel St, Wimauma, FL 33598-3021 2020-07-17
1487279121 Michelle Hill Technician 75 N Gulf Ave, Crystal River, FL 34429-7611 2020-06-09
1740802289 Anna Marie Cruttenden Technician 4336 Sablan Ln, Milton, FL 32583-2470 2020-05-06
1619597507 Lula Curry Technician 106 W Jersey Ave, Brandon, FL 33510-3130 2020-04-21
1447879721 Bretton Hill Technician 1227 Rolling Stone Run, Odessa, FL 33556-6040 2020-04-16
1770119653 Stephanie J Crenshaw Technician 2154 Waseca Ln, Leesburg, FL 34748-3059 2020-03-23
1770118259 Tatiyana Anisimova Technician 2605 Casa Dr, New Port Richey, FL 34655-2235 2020-03-05
1730712555 Rashel L Haddix Technician 2009 Long Round Bay Rd, Bonifay, FL 32425-7135 2020-02-20
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Competitor

Search similar providers

City CRESCENT CITY
Zip Code 32112

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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