Provider Demographics
NPI:1164585345
Name:MEMORIAL MEDICAL STAFFING SERVICES
Entity Type:Organization
Organization Name:MEMORIAL MEDICAL STAFFING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLI
Authorized Official - Middle Name:D
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:LVN
Authorized Official - Phone:832-748-4302
Mailing Address - Street 1:14867 ESTRELLITA DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-5032
Mailing Address - Country:US
Mailing Address - Phone:281-645-6413
Mailing Address - Fax:281-645-6413
Practice Address - Street 1:7014 LOWER ARROW DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77086-2899
Practice Address - Country:US
Practice Address - Phone:832-748-4302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered251E00000XAgenciesHome Health
Not Answered251J00000XAgenciesNursing Care