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Organization

MKG ENTERPRISES CORP.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MARSHAWN KEITH GOVAN (PRESIDENT)
(559) 588-4340
Entity
Organization

Contact information

Practice address
4021 N FRESNO ST STE 107, FRESNO, CA 93726-4030
(559) 412-7248
(609) 756-3766
Mailing address
4974 N FRESNO ST STE 627, FRESNO, CA 93726-0317
(559) 412-7248
(609) 756-3766

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
177F00000X
Lodging Provider
251C00000X
Developmentally Disabled Services Day Training Agency
251J00000X
Nursing Care Agency
252Y00000X
Early Intervention Provider Agency
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
3104A0625X
Assisted Living Facility (Mental Illness)
332U00000X
Home Delivered Meals
343900000X
Non-emergency Medical Transport (VAN)
Primary
347E00000X
Transportation Broker

Other

Enumeration date
11/08/2019
Last updated
11/08/2019
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