Provider Demographics
NPI:1851164818
Name:MANGWENYA LLC
Entity type:Organization
Organization Name:MANGWENYA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SALES EXCECUTIVE
Authorized Official - Prefix:
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:
Authorized Official - Last Name:MPONDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:424-477-8165
Mailing Address - Street 1:2456 OPALINE DR
Mailing Address - Street 2:
Mailing Address - City:AUBREY
Mailing Address - State:TX
Mailing Address - Zip Code:76227-1743
Mailing Address - Country:US
Mailing Address - Phone:424-477-8165
Mailing Address - Fax:
Practice Address - Street 1:2456 OPALINE DR
Practice Address - Street 2:
Practice Address - City:AUBREY
Practice Address - State:TX
Practice Address - Zip Code:76227-1743
Practice Address - Country:US
Practice Address - Phone:424-477-8165
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-01
Last Update Date:2023-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes177F00000XOther Service ProvidersLodging