Provider Demographics
NPI:1376655001
Name:ST CHARLES MEDICAL SERVICES, INC
Entity Type:Organization
Organization Name:ST CHARLES MEDICAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN,DON
Authorized Official - Prefix:
Authorized Official - First Name:NONYELUM
Authorized Official - Middle Name:
Authorized Official - Last Name:OZONOH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-234-7233
Mailing Address - Street 1:4143 BLUEBONNET DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-3909
Mailing Address - Country:US
Mailing Address - Phone:713-234-7233
Mailing Address - Fax:832-532-3697
Practice Address - Street 1:4143 BLUEBONNET DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-3909
Practice Address - Country:US
Practice Address - Phone:713-234-7233
Practice Address - Fax:832-532-3697
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2011-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health