Provider Demographics
NPI:1710334602
Name:AMGREF HEALTH SYSTEMS CORPORATION
Entity Type:Organization
Organization Name:AMGREF HEALTH SYSTEMS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TOJU
Authorized Official - Middle Name:
Authorized Official - Last Name:FREGENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:877-373-2600
Mailing Address - Street 1:307 WEST MILAM ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WHARTON
Mailing Address - State:TX
Mailing Address - Zip Code:77788
Mailing Address - Country:US
Mailing Address - Phone:877-373-2600
Mailing Address - Fax:
Practice Address - Street 1:307 WEST MILAM STREET
Practice Address - Street 2:SUITE 201
Practice Address - City:WHARTON
Practice Address - State:TX
Practice Address - Zip Code:77488
Practice Address - Country:US
Practice Address - Phone:877-373-2600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-20
Last Update Date:2016-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health