Provider Demographics
NPI:1528203544
Name:MBL ASSOCIATES INC
Entity Type:Organization
Organization Name:MBL ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MUNJANJA
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:LITELL
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, MBA
Authorized Official - Phone:301-370-1095
Mailing Address - Street 1:PO BOX 258
Mailing Address - Street 2:
Mailing Address - City:BOYDS
Mailing Address - State:MD
Mailing Address - Zip Code:20841-0258
Mailing Address - Country:US
Mailing Address - Phone:301-370-1095
Mailing Address - Fax:301-340-6403
Practice Address - Street 1:15 W MONTGOMERY AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-4217
Practice Address - Country:US
Practice Address - Phone:301-370-1095
Practice Address - Fax:301-340-6403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-04
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health