Provider Demographics
NPI:1982727939
Name:MAYFLOWER HEALTH SERVICES, INC.
Entity Type:Organization
Organization Name:MAYFLOWER HEALTH SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MEDINAT
Authorized Official - Middle Name:MAYO
Authorized Official - Last Name:SHOFOLUWE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-875-3173
Mailing Address - Street 1:3703 PENNINGTON CT
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6262
Mailing Address - Country:US
Mailing Address - Phone:832-875-3173
Mailing Address - Fax:281-778-6157
Practice Address - Street 1:3703 PENNINGTON CT
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-6262
Practice Address - Country:US
Practice Address - Phone:832-875-3173
Practice Address - Fax:281-778-6157
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-06
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health