# MLJ ENTERPRISES

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

## Provider details

- **NPI number:** 1417635699
- **Authorized official:** MARCUS JACKSON (PRESIDENT)
- **Authorized official phone:** (972) 375-3608

## Contact information

- **Practice address:** 916 JAMIE DR, GRAND PRAIRIE, TX 75052-2735
- **Practice address phone:** (469) 471-6695
- **Mailing address:** PO BOX 224221, DALLAS, TX 75222-4221

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | Yes |
| 171M00000X | Case Manager/Care Coordinator | — | — | Yes |

## Other

- **Enumeration date:** 07/07/2023
- **Last updated:** 07/07/2023