Provider Demographics
NPI:1932246188
Name:MERIDIAN HEALTH CARE SVCS
Entity Type:Organization
Organization Name:MERIDIAN HEALTH CARE SVCS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RENE
Authorized Official - Middle Name:F
Authorized Official - Last Name:GAVIOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-298-6410
Mailing Address - Street 1:1716 MH DEL PILAR ST. MALATE
Mailing Address - Street 2:2301-A ALPHA GRANDVIEW CONDO
Mailing Address - City:METRO MANILA
Mailing Address - State:MANILA
Mailing Address - Zip Code:1004
Mailing Address - Country:PH
Mailing Address - Phone:632-522-4738
Mailing Address - Fax:632-522-4738
Practice Address - Street 1:1716 MH DEL PILAR ST. MALATE
Practice Address - Street 2:2301-A ALPHA GRANDVIEW CONDO
Practice Address - City:METRO MANILA
Practice Address - State:MANILA
Practice Address - Zip Code:1004
Practice Address - Country:PH
Practice Address - Phone:632-522-4738
Practice Address - Fax:632-522-4738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WIPHL009491251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health