Healthcare Provider Details

I. General information

NPI: 1366781411
Provider Name (Legal Business Name): MECCAN HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2013
Last Update Date: 02/11/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 RAVEN FALLS LN
FRIENDSWOOD TX
77546-6072
US

IV. Provider business mailing address

2626 RAVEN FALLS LN
FRIENDSWOOD TX
77546-6072
US

V. Phone/Fax

Practice location:
  • Phone: 281-993-5134
  • Fax:
Mailing address:
  • Phone: 281-993-5134
  • Fax: 281-992-2187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateTX

VIII. Authorized Official

Name: MR. EPHRAIM E. OKAFOR
Title or Position: CEO
Credential:
Phone: 281-993-5134