Provider Demographics
NPI:1215021209
Name:MACX AND KENNY HEALTH SERVICES
Entity Type:Organization
Organization Name:MACX AND KENNY HEALTH SERVICES
Other - Org Name:HARMONY HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PETRONILLA
Authorized Official - Middle Name:
Authorized Official - Last Name:OSUAGWA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:713-966-9870
Mailing Address - Street 1:3535 DAHLIA HILL STREET
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:TX
Mailing Address - Zip Code:77545
Mailing Address - Country:US
Mailing Address - Phone:713-966-9870
Mailing Address - Fax:281-431-3193
Practice Address - Street 1:3535 DAHLIA HILL STREET
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:TX
Practice Address - Zip Code:77545
Practice Address - Country:US
Practice Address - Phone:713-966-9870
Practice Address - Fax:281-431-3193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health