Provider Demographics
NPI:1578685129
Name:MENAX HEALTH CARE
Entity Type:Organization
Organization Name:MENAX HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LOUIS
Authorized Official - Middle Name:MBANEFO
Authorized Official - Last Name:CHUKWURAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-614-8557
Mailing Address - Street 1:81 MADDOX RD
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30518-3652
Mailing Address - Country:US
Mailing Address - Phone:770-614-8557
Mailing Address - Fax:770-614-8717
Practice Address - Street 1:81 MADDOX RD
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30518-3652
Practice Address - Country:US
Practice Address - Phone:770-614-8557
Practice Address - Fax:770-614-8717
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health