MEDICARE: MGM HEALTH CARE 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

General Provider Information

NPI Number	:	1588904973
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MGM HEALTH CARE INC

Provider Business Mailing Address
First Line	:	5522 LINDEN GROVE CT
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-8802
Country	:	US
Telephone Number	:	281-704-9037
Fax Number	:

Provider Business Practice Location Address
First Line	:	10101 HARWIN DR STE 130
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-1650
Country	:	US
Telephone Number	:	713-484-7100
Fax Number	:	713-484-7101

Authorized Official
Title or Position	:	CFO
Name	:	MR. ATHAR H ABIDI
Credential	:
Telephone Number	:	281-704-9037

Provider Enumeration Date	:	02/21/2013
Last Update Date	:	02/21/2013

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Directions to “MGM HEALTH CARE INC ” Practice Location

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