Provider Demographics
NPI:1477746162
Name:MULTI-SOURCE MANAGEMENT GROUP,LLC
Entity Type:Organization
Organization Name:MULTI-SOURCE MANAGEMENT GROUP,LLC
Other - Org Name:EVA HOME HEALTH CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESEDINT
Authorized Official - Prefix:MS
Authorized Official - First Name:HEWAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:AKLOG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-437-4999
Mailing Address - Street 1:4508 BRECKINRIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:RICHARDSON
Mailing Address - State:TX
Mailing Address - Zip Code:75082-3859
Mailing Address - Country:US
Mailing Address - Phone:972-437-4999
Mailing Address - Fax:972-680-2791
Practice Address - Street 1:4508 BRECKINRIDGE BLVD
Practice Address - Street 2:
Practice Address - City:RICHARDSON
Practice Address - State:TX
Practice Address - Zip Code:75082-3859
Practice Address - Country:US
Practice Address - Phone:972-437-4999
Practice Address - Fax:972-680-2791
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-25
Last Update Date:2007-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health