Provider Demographics
NPI:1912547092
Name:MLAWSON CORP
Entity Type:Organization
Organization Name:MLAWSON CORP
Other - Org Name:PREFERRED CARE AT HOME OF SOUTH ALABAMA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARQUIETTA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAWSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:251-930-4337
Mailing Address - Street 1:PO BOX 352
Mailing Address - Street 2:
Mailing Address - City:SAINT ELMO
Mailing Address - State:AL
Mailing Address - Zip Code:36568-0352
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5901 AIRPORT BLVD STE 105
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-3169
Practice Address - Country:US
Practice Address - Phone:251-930-4337
Practice Address - Fax:251-930-4329
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-07
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health