MEDICARE: MECCAN HEALTHCARE SERVICES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency
2	251E00000X	Home Health Agency		TX

General Provider Information

NPI Number	:	1366781411
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MECCAN HEALTHCARE SERVICES INC

Provider Business Mailing Address
First Line	:	2626 RAVEN FALLS LN
Second Line	:
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546-6072
Country	:	US
Telephone Number	:	281-993-5134
Fax Number	:	281-992-2187

Provider Business Practice Location Address
First Line	:	2626 RAVEN FALLS LN
Second Line	:
City	:	FRIENDSWOOD
State	:	TX
Zip	:	77546-6072
Country	:	US
Telephone Number	:	281-993-5134
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MR. EPHRAIM E. OKAFOR
Credential	:
Telephone Number	:	281-993-5134

Provider Enumeration Date	:	02/10/2013
Last Update Date	:	02/11/2013

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Directions to “MECCAN HEALTHCARE SERVICES INC ” Practice Location

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