Provider Demographics
NPI:1871041608
Name:MAYO SERVICES LLC
Entity Type:Organization
Organization Name:MAYO SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PIERRE
Authorized Official - Middle Name:
Authorized Official - Last Name:ATCHADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:765-730-5026
Mailing Address - Street 1:2706 W WELLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:MUNCIE
Mailing Address - State:IN
Mailing Address - Zip Code:47304-1273
Mailing Address - Country:US
Mailing Address - Phone:765-730-5026
Mailing Address - Fax:
Practice Address - Street 1:2706 W WELLINGTON DR
Practice Address - Street 2:
Practice Address - City:MUNCIE
Practice Address - State:IN
Practice Address - Zip Code:47304-1273
Practice Address - Country:US
Practice Address - Phone:765-730-5026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-21
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No253Z00000XAgenciesIn Home Supportive Care