Provider Demographics
NPI:1134691074
Name:MVM GROUP LLC
Entity Type:Organization
Organization Name:MVM GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KOKOU
Authorized Official - Middle Name:
Authorized Official - Last Name:AKPO-GNANDI
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:402-714-4484
Mailing Address - Street 1:21926 AVALON QUEEN DR
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77379-5922
Mailing Address - Country:US
Mailing Address - Phone:402-714-4484
Mailing Address - Fax:
Practice Address - Street 1:21926 AVALON QUEEN DR
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-5922
Practice Address - Country:US
Practice Address - Phone:402-714-4484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-17
Last Update Date:2018-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care