# MW MEMORY CARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235479197
- **Authorized official:** MINDI WILLETT (PRESIDENT/ADMINISTRATOR)
- **Authorized official phone:** (616) 863-9999

## Contact information

- **Practice address:** 11629 NORTHLAND DR NE, SUITE 300, ROCKFORD, MI 49341-7211
- **Practice address phone:** (616) 863-9999
- **Practice address fax:** (616) 863-9990
- **Mailing address:** 11629 NORTHLAND DR NE, SUITE 300, ROCKFORD, MI 49341-7211
- **Mailing address phone:** (616) 863-9999
- **Mailing address fax:** (616) 863-9990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251J00000X | Nursing Care Agency | — | MI | — |
| 253Z00000X | In Home Supportive Care Agency | — | MI | Yes |

## Other

- **Enumeration date:** 02/28/2013
- **Last updated:** 03/26/2014
