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Organization
MKW ENTERPRISE INC.
Active
Organization
MKW ENTERPRISE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WOODROW WASHINGTON III (DIRECTOR)
(205) 333-6245
Entity
Organization
Contact information
Practice address
1505 29TH AVE, NORTHPORT, AL 35476-4156
(205) 826-0288
Mailing address
3725 28TH AVE, NORTHPORT, AL 35473-2958
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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