Provider Demographics
NPI:1740975622
Name:MERAK HEALTH LLC
Entity type:Organization
Organization Name:MERAK HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER & OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KULAPAN
Authorized Official - Middle Name:JOE
Authorized Official - Last Name:WARANYUWAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:217-369-2048
Mailing Address - Street 1:151 N 8TH ST STE 500
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68508-1475
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:151 N 8TH ST STE 500
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68508-1475
Practice Address - Country:US
Practice Address - Phone:217-369-2048
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty