# MEDEKAN ONLINE SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891558672
- **Authorized official:** MIRIAM UDOKAH (OWNER)
- **Authorized official phone:** (346) 582-8336

## Contact information

- **Practice address:** 2743 SMITH RANCH RD STE 902A, PEARLAND, TX 77584-5217
- **Practice address phone:** (346) 582-8336
- **Practice address fax:** (713) 583-7836
- **Mailing address:** 1853 PEARLAND PKWY STE 123-1145, PEARLAND, TX 77581-5296
- **Mailing address phone:** (346) 582-8336
- **Mailing address fax:** (713) 583-7839

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 311Z00000X | Custodial Care Facility | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | — |
| 320700000X | Physical Disabilities Residential Treatment Facility | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 02/05/2024
- **Last updated:** 10/07/2024