Healthcare Provider Details
I. General information
NPI: 1144591207
Provider Name (Legal Business Name): MEIGER HEALTHCARE GROUP, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/21/2012
Last Update Date: 01/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2027 MARTIN LUTHER KING JR AVE SE
WASHINGTON DC
20020-7007
US
IV. Provider business mailing address
11801 MEADOWLAND DR
BOWIE MD
20720-3580
US
V. Phone/Fax
- Phone: 202-507-8071
- Fax:
- Phone: 301-233-5057
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | DC |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | |
| License Number State | DC |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 3336C0003X |
| Taxonomy | Community/Retail Pharmacy |
| License Number | |
| License Number State | DC |
VIII. Authorized Official
Name: DR.
ERNEST
MENYONGA
IGWACHO
Title or Position: PRESIDENT
Credential:
Phone: 301-233-5057