Provider Demographics
NPI:1528672854
Name:THE INTUNE MOTHER SOCIETY
Entity type:Organization
Organization Name:THE INTUNE MOTHER SOCIETY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RASHAUNDA
Authorized Official - Middle Name:RAQUEL
Authorized Official - Last Name:LUGRAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:405-795-3733
Mailing Address - Street 1:PO BOX 55803
Mailing Address - Street 2:
Mailing Address - City:DEL CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73155-0803
Mailing Address - Country:US
Mailing Address - Phone:405-795-3733
Mailing Address - Fax:
Practice Address - Street 1:7901 NE 10TH ST STE B101
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-3653
Practice Address - Country:US
Practice Address - Phone:405-795-3733
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-03
Last Update Date:2020-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200903470Medicaid