Healthcare Provider Details

I. General information

NPI: 1578370094
Provider Name (Legal Business Name): MEB HOME SERVICE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2024
Last Update Date: 12/17/2024
Certification Date: 12/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1091 SUMMIT OAK DR
LAKE FOREST CA
92679-1239
US

IV. Provider business mailing address

1091 SUMMIT OAK DR
LAKE FOREST CA
92679-1239
US

V. Phone/Fax

Practice location:
  • Phone: 513-748-2410
  • Fax:
Mailing address:
  • Phone: 513-748-2410
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: MARCUS BLANKS
Title or Position: OWNER / OPERATOR
Credential:
Phone: 513-748-2410