MEDICARE: MINZA HEALTHCARE 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	:	1942579180
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MINZA HEALTHCARE INC

Provider Business Mailing Address
First Line	:	3200 PECAN XING
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75181-2935
Country	:	US
Telephone Number	:	214-677-4752
Fax Number	:	214-677-4752

Provider Business Practice Location Address
First Line	:	3200 PECAN XING
Second Line	:
City	:	MESQUITE
State	:	TX
Zip	:	75181-2935
Country	:	US
Telephone Number	:	214-677-4752
Fax Number	:	214-677-4752

Authorized Official
Title or Position	:	PRESIDENT/ALT ADMINISTRATOR
Name	:	MRS. IFEOMA MENAKAYA
Credential	:
Telephone Number	:	214-677-4752

Provider Enumeration Date	:	12/16/2011
Last Update Date	:	01/03/2012

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