Provider Demographics
NPI:1407639586
Name:MREHEALTHCARESERVICES CORP.
Entity Type:Organization
Organization Name:MREHEALTHCARESERVICES CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OTHER
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIEVICTOIRE
Authorized Official - Middle Name:
Authorized Official - Last Name:JEANCHARLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-444-5725
Mailing Address - Street 1:14120A NW 27TH AVE
Mailing Address - Street 2:
Mailing Address - City:OPA LOCKA
Mailing Address - State:FL
Mailing Address - Zip Code:33054-3655
Mailing Address - Country:US
Mailing Address - Phone:786-444-5725
Mailing Address - Fax:
Practice Address - Street 1:14120A NW 27TH AVE
Practice Address - Street 2:
Practice Address - City:OPA LOCKA
Practice Address - State:FL
Practice Address - Zip Code:33054-3655
Practice Address - Country:US
Practice Address - Phone:786-444-5725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services