Provider Demographics
NPI:1770229486
Name:MICAN STAFFING COMPANY LLC
Entity Type:Organization
Organization Name:MICAN STAFFING COMPANY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NDEJEMBI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-616-8236
Mailing Address - Street 1:6671 SOUTHWEST FWY STE 484
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2227
Mailing Address - Country:US
Mailing Address - Phone:713-384-4567
Mailing Address - Fax:
Practice Address - Street 1:6671 SOUTHWEST FWY STE 484
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2227
Practice Address - Country:US
Practice Address - Phone:713-384-4567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-06
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty