Healthcare Provider Details

I. General information

NPI: 1245607936
Provider Name (Legal Business Name): MMRN HEALTH SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2015
Last Update Date: 01/14/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 BEDFORD ST SUITE 'D'
BURLINGTON MA
01803-3774
US

IV. Provider business mailing address

7 BEDFORD ST SUITE 'D'
BURLINGTON MA
01803-3774
US

V. Phone/Fax

Practice location:
  • Phone: 781-316-5244
  • Fax:
Mailing address:
  • Phone: 781-316-5244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License NumberLN61936
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License NumberLN61936
License Number StateMA

VIII. Authorized Official

Name: MS. RAHAB NGUGI
Title or Position: SECRETARY
Credential:
Phone: 781-316-5244