Provider Demographics
NPI:1447308655
Name:MANA HOMEHEALTH AGENCY LLC
Entity type:Organization
Organization Name:MANA HOMEHEALTH AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DON
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:OCHEZE
Authorized Official - Last Name:WEZE
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE
Authorized Official - Phone:281-647-6776
Mailing Address - Street 1:20406 CANYON SHADOW DR
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-8731
Mailing Address - Country:US
Mailing Address - Phone:281-647-6776
Mailing Address - Fax:281-647-6741
Practice Address - Street 1:20406 CANYON SHADOW DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-8731
Practice Address - Country:US
Practice Address - Phone:281-647-6776
Practice Address - Fax:281-647-6741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-07
Last Update Date:2007-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health