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Organization

RIDGEWOOD

Active
Parent organization
MJCARE INC
Organization subpart
Yes

Provider details

NPI number
Legal business name
MJCARE INC
Authorized official
MARY L SWAIM COTA/L (COTA/L)
(262) 598-9146
Entity
Organization

Contact information

Practice address
3205 WOOD RD, RACINE, WI 53406-5048
(262) 598-9146
Mailing address
3205 WOOD RD, RACINE, WI 53406-5048
(262) 598-9146

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4806027
WI

Other

Enumeration date
12/22/2011
Last updated
12/22/2011
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