MEDICARE: MERAKI LIVING CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1215772124
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERAKI LIVING CENTER

Provider Business Mailing Address
First Line	:	11507 VIRIDIAN PL
Second Line	:
City	:	HELOTES
State	:	TX
Zip	:	78023-4646
Country	:	US
Telephone Number	:	210-897-3276
Fax Number	:

Provider Business Practice Location Address
First Line	:	11507 VIRIDIAN PL
Second Line	:
City	:	HELOTES
State	:	TX
Zip	:	78023-4646
Country	:	US
Telephone Number	:	210-897-3276
Fax Number	:

Authorized Official
Title or Position	:	OWER
Name	:	PHILIPPA ISIOMA EHORO
Credential	:	DNP-FNP
Telephone Number	:	210-897-3276

Provider Enumeration Date	:	07/01/2024
Last Update Date	:	07/01/2024

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Directions to “MERAKI LIVING CENTER ” Practice Location

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