Provider Demographics
NPI:1629387022
Name:M&K HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:M&K HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/ PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:VIVIAN
Authorized Official - Middle Name:NGOZI
Authorized Official - Last Name:ELEGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-820-3543
Mailing Address - Street 1:7015 GARNET LAKE CT
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-7160
Mailing Address - Country:US
Mailing Address - Phone:713-820-3543
Mailing Address - Fax:832-451-6898
Practice Address - Street 1:7015 GARNET LAKE CT
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-7160
Practice Address - Country:US
Practice Address - Phone:713-820-3543
Practice Address - Fax:832-451-6898
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-02
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility