Provider Demographics
NPI:1881034148
Name:MABLEX HEALTHCARE SOLUTIONS LLC
Entity Type:Organization
Organization Name:MABLEX HEALTHCARE SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NWANDO
Authorized Official - Middle Name:NINA
Authorized Official - Last Name:ORANWUSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-565-7448
Mailing Address - Street 1:9155 HITCHING POST LN APT F
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20723-1531
Mailing Address - Country:US
Mailing Address - Phone:240-565-7448
Mailing Address - Fax:301-358-2069
Practice Address - Street 1:9155 HITCHING POST LN APT F
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-1531
Practice Address - Country:US
Practice Address - Phone:240-565-7448
Practice Address - Fax:301-358-2069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-01
Last Update Date:2013-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR3448251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health