Organization
MEDEKAN ONLINE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRIAM UDOKAH (OWNER)
(346) 582-8336
Entity
Organization
Contact information
Practice address
2743 SMITH RANCH RD STE 902A, PEARLAND, TX 77584-5217
(346) 582-8336
(713) 583-7836
Mailing address
1853 PEARLAND PKWY STE 123-1145, PEARLAND, TX 77581-5296
(346) 582-8336
(713) 583-7839
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
311Z00000X
Custodial Care Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
10/07/2024
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