MEDICARE: MEC SERVICES CORP

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	253Z00000X	In Home Supportive Care Agency	374700138	CA

General Provider Information

NPI Number	:	1952760787
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEC SERVICES CORP

Provider Business Mailing Address
First Line	:	11706 ALDERHILL TER
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92131-3864
Country	:	US
Telephone Number	:	858-218-6090
Fax Number	:	858-225-7491

Provider Business Practice Location Address
First Line	:	11706 ALDERHILL TER
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92131-3864
Country	:	US
Telephone Number	:	858-218-6090
Fax Number	:	858-225-7491

Authorized Official
Title or Position	:	SECRETARY/CFO
Name	:	MR. BRENT CHRISTOPHER KLINE
Credential	:
Telephone Number	:	858-218-6090

Provider Enumeration Date	:	02/22/2016
Last Update Date	:	02/22/2016

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Directions to “MEC SERVICES CORP ” Practice Location

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