Organization
MKG ENTERPRISES CORP.
Active
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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