Provider Demographics
NPI:1841524311
Name:MID-WEST HEALTH SERVICES INC.
Entity type:Organization
Organization Name:MID-WEST HEALTH SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TEMI
Authorized Official - Middle Name:
Authorized Official - Last Name:BODUNRIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-226-5814
Mailing Address - Street 1:11810 CHETMAN DR
Mailing Address - Street 2:UNIT A
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-1338
Mailing Address - Country:US
Mailing Address - Phone:443-418-6473
Mailing Address - Fax:
Practice Address - Street 1:11810 CHETMAN DR
Practice Address - Street 2:UNIT A
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-1338
Practice Address - Country:US
Practice Address - Phone:443-418-6473
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health