Provider Demographics
NPI:1184966079
Name:MEDEX HEALTH CARE INC
Entity type:Organization
Organization Name:MEDEX HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MONNA
Authorized Official - Middle Name:M
Authorized Official - Last Name:LAGUERRE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:508-826-1641
Mailing Address - Street 1:29 MERRIAM ST
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01501-1411
Mailing Address - Country:US
Mailing Address - Phone:508-826-1641
Mailing Address - Fax:508-832-9022
Practice Address - Street 1:29 MERRIAM ST
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:MA
Practice Address - Zip Code:01501-1411
Practice Address - Country:US
Practice Address - Phone:508-826-1641
Practice Address - Fax:508-832-9022
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-19
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8310251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health