Provider Demographics
NPI:1225656994
Name:MI SERVICES, INC
Entity Type:Organization
Organization Name:MI SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARLEANA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:IVANOV
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-920-3893
Mailing Address - Street 1:64 W SUN RAY DR
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VLY
Mailing Address - State:AZ
Mailing Address - Zip Code:85143-4391
Mailing Address - Country:US
Mailing Address - Phone:623-250-0700
Mailing Address - Fax:
Practice Address - Street 1:1215 E COUNTRY CROSSING WAY
Practice Address - Street 2:
Practice Address - City:SAN TAN VLY
Practice Address - State:AZ
Practice Address - Zip Code:85143-6184
Practice Address - Country:US
Practice Address - Phone:480-536-2224
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-09
Last Update Date:2022-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health