Provider Demographics
NPI:1770315749
Name:MERIWOOD LIMITED LIABILITY COMPANY
Entity type:Organization
Organization Name:MERIWOOD LIMITED LIABILITY COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:IYABO
Authorized Official - Middle Name:
Authorized Official - Last Name:OMIDIWURA
Authorized Official - Suffix:
Authorized Official - Credentials:CNP
Authorized Official - Phone:832-554-6773
Mailing Address - Street 1:9801 WESTHEIMER RD STE 300
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-3979
Mailing Address - Country:US
Mailing Address - Phone:832-554-6773
Mailing Address - Fax:
Practice Address - Street 1:4800 SUGAR GROVE BLVD STE 250
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-2639
Practice Address - Country:US
Practice Address - Phone:832-554-6773
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-17
Last Update Date:2024-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No253Z00000XAgenciesIn Home Supportive Care