Provider Demographics
NPI:1528301413
Name:MFG HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:MFG HEALTH SERVICES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:K
Authorized Official - Last Name:CHIRAVANICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-859-2968
Mailing Address - Street 1:9219 KATY FWY
Mailing Address - Street 2:207
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1520
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9219 KATY FWY
Practice Address - Street 2:207
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1520
Practice Address - Country:US
Practice Address - Phone:713-932-0017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-29
Last Update Date:2024-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251C00000XAgenciesDay Training, Developmentally Disabled Services