Provider Demographics
NPI:1285351924
Name:PERAFAJ HEALTH SERVICES LLC
Entity type:Organization
Organization Name:PERAFAJ HEALTH SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:NWAJEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-573-7760
Mailing Address - Street 1:2726 ATLAS DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6745
Mailing Address - Country:US
Mailing Address - Phone:832-573-7760
Mailing Address - Fax:
Practice Address - Street 1:2726 ATLAS DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-6745
Practice Address - Country:US
Practice Address - Phone:832-573-7760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-24
Last Update Date:2022-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty