Provider Demographics
NPI:1316206840
Name:MIIRRA HOME HEALTH SERVICES, CORP.
Entity Type:Organization
Organization Name:MIIRRA HOME HEALTH SERVICES, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AKINTUNDE
Authorized Official - Middle Name:A
Authorized Official - Last Name:AKINWALE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1832-408-0278
Mailing Address - Street 1:9898 BISSONNET ST
Mailing Address - Street 2:SUITE 265
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8270
Mailing Address - Country:US
Mailing Address - Phone:832-408-0278
Mailing Address - Fax:832-422-7936
Practice Address - Street 1:9898 BISSONNET ST
Practice Address - Street 2:SUITE 265
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8270
Practice Address - Country:US
Practice Address - Phone:832-408-0278
Practice Address - Fax:832-422-7936
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-03
Last Update Date:2013-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health