Provider Demographics
NPI:1215171046
Name:M.G. SERVICES, LLC
Entity type:Organization
Organization Name:M.G. SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT / DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LILLIAN
Authorized Official - Middle Name:FATIMA
Authorized Official - Last Name:MADYUN
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:901-358-0222
Mailing Address - Street 1:3065 THOMAS ST.
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38127
Mailing Address - Country:US
Mailing Address - Phone:901-358-0222
Mailing Address - Fax:901-358-0305
Practice Address - Street 1:3065 THOMAS ST.
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38127
Practice Address - Country:US
Practice Address - Phone:901-358-0222
Practice Address - Fax:901-358-0305
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:M.G SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health