Provider Demographics
NPI:1245977438
Name:MUJANGS CARE LLC
Entity type:Organization
Organization Name:MUJANGS CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS DEVELOPMENT
Authorized Official - Prefix:
Authorized Official - First Name:GREG
Authorized Official - Middle Name:
Authorized Official - Last Name:LORSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-252-2696
Mailing Address - Street 1:6101 MELROSE LN
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73127-5529
Mailing Address - Country:US
Mailing Address - Phone:405-264-2214
Mailing Address - Fax:
Practice Address - Street 1:6101 MELROSE LN
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73127-5529
Practice Address - Country:US
Practice Address - Phone:405-264-2214
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-18
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OKHC8145OtherSTATE LICENSE NUMBER