Provider Demographics
NPI:1023842945
Name:MUNA'S HEART NURSING SERVICES INC
Entity type:Organization
Organization Name:MUNA'S HEART NURSING SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LUCY
Authorized Official - Middle Name:
Authorized Official - Last Name:KOROMA
Authorized Official - Suffix:
Authorized Official - Credentials:REGISTERED NURSE MSN
Authorized Official - Phone:240-324-9190
Mailing Address - Street 1:1206 ASHLEIGH STATION CT
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-6005
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12164 CENTRAL AVE STE 228
Practice Address - Street 2:
Practice Address - City:MITCHELLVILLE
Practice Address - State:MD
Practice Address - Zip Code:20721-1903
Practice Address - Country:US
Practice Address - Phone:240-838-8911
Practice Address - Fax:240-304-3277
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MUNA'S HEART NURSING SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-09-02
Last Update Date:2024-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health