Provider Demographics
NPI:1134485279
Name:FUJIK HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:FUJIK HEALTHCARE SERVICES INC
Other - Org Name:ST CHARLES HOME HEALTH SOLUTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:OKECHUKWU
Authorized Official - Last Name:DURU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-488-9849
Mailing Address - Street 1:4434 BLUEBONNET DR # 133
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-2904
Mailing Address - Country:US
Mailing Address - Phone:281-903-7551
Mailing Address - Fax:832-645-0301
Practice Address - Street 1:4434 BLUEBONNET DR STE 133
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477
Practice Address - Country:US
Practice Address - Phone:281-903-7551
Practice Address - Fax:832-645-0301
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-03
Last Update Date:2018-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health