Healthcare Provider Details

I. General information

NPI: 1780616573
Provider Name (Legal Business Name): MARITONA HEALTH SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 05/14/2025
Certification Date: 05/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11615 LANTANA REACH DR
RICHMOND TX
77406-1483
US

IV. Provider business mailing address

11615 LANTANA REACH DR
RICHMOND TX
77406-1483
US

V. Phone/Fax

Practice location:
  • Phone: 281-933-3500
  • Fax: 281-933-3505
Mailing address:
  • Phone: 832-451-6172
  • Fax: 832-451-6469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ONUWABHAGBE C ITUAH
Title or Position: ADMINISTRATOR
Credential:
Phone: 832-451-6172