Provider Demographics
NPI:1194919704
Name:THE AMEN HEALTH SERVICE INC.
Entity type:Organization
Organization Name:THE AMEN HEALTH SERVICE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/SUPERVISING NURSE
Authorized Official - Prefix:
Authorized Official - First Name:QUEEN
Authorized Official - Middle Name:ADEBISI
Authorized Official - Last Name:KOYA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:281-707-9709
Mailing Address - Street 1:21111 N HIDE CT
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77073-2940
Mailing Address - Country:US
Mailing Address - Phone:281-704-9709
Mailing Address - Fax:281-443-2546
Practice Address - Street 1:21111 N HIDE CT
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77073-2940
Practice Address - Country:US
Practice Address - Phone:281-704-9709
Practice Address - Fax:281-443-2546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health