Provider Demographics
NPI:1093586828
Name:M&M HEALTHCARE, LLC
Entity Type:Organization
Organization Name:M&M HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MEKDES
Authorized Official - Middle Name:S
Authorized Official - Last Name:MELKIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-432-3922
Mailing Address - Street 1:11591 CALDWELL WAY
Mailing Address - Street 2:
Mailing Address - City:PICKERINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43147-3540
Mailing Address - Country:US
Mailing Address - Phone:614-432-3922
Mailing Address - Fax:
Practice Address - Street 1:11591 CALDWELL WAY
Practice Address - Street 2:
Practice Address - City:PICKERINGTON
Practice Address - State:OH
Practice Address - Zip Code:43147-3540
Practice Address - Country:US
Practice Address - Phone:614-432-3922
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-10
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health