Healthcare Provider Details

I. General information

NPI: 1528672854
Provider Name (Legal Business Name): THE INTUNE MOTHER SOCIETY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2020
Last Update Date: 09/03/2020
Certification Date: 09/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7901 NE 10TH ST STE B101
MIDWEST CITY OK
73110-3653
US

IV. Provider business mailing address

PO BOX 55803
DEL CITY OK
73155-0803
US

V. Phone/Fax

Practice location:
  • Phone: 405-795-3733
  • Fax:
Mailing address:
  • Phone: 405-795-3733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0050X
TaxonomyNon-Surgical Family Planning Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MRS. RASHAUNDA RAQUEL LUGRAND
Title or Position: FOUNDER/PRESIDENT
Credential:
Phone: 405-795-3733