Provider Demographics
NPI:1619354115
Name:M & G HOME CARE SERVICES, LLC
Entity Type:Organization
Organization Name:M & G HOME CARE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:N
Authorized Official - Last Name:DURU-IHEOMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-281-8134
Mailing Address - Street 1:5012 CHESTNUT KNOLL LN
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-8239
Mailing Address - Country:US
Mailing Address - Phone:704-281-8134
Mailing Address - Fax:
Practice Address - Street 1:301 MCCULLOUGH DRIVE
Practice Address - Street 2:SUITE 400
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262
Practice Address - Country:US
Practice Address - Phone:704-281-8134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-04
Last Update Date:2019-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health