Provider Demographics
NPI:1467601039
Name:MECAS PROFESSIONAL SERVICES, INC
Entity Type:Organization
Organization Name:MECAS PROFESSIONAL SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUSANA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTANON
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:305-229-9941
Mailing Address - Street 1:4155 SW 130TH AVE
Mailing Address - Street 2:SUITE110
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33175-3414
Mailing Address - Country:US
Mailing Address - Phone:305-229-9941
Mailing Address - Fax:305-226-2821
Practice Address - Street 1:4155 SW 130TH AVE
Practice Address - Street 2:SUITE110
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-3414
Practice Address - Country:US
Practice Address - Phone:305-229-9941
Practice Address - Fax:305-226-2821
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-18
Last Update Date:2008-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health