NPI 1033353107
Mkw Enterprise INC.
Practice location
- Address
- 1505 29th Ave, Northport, AL 35476-4156
- Phone
- (205) 826-0288
- Mailing address
- 3725 28th Ave, Northport, AL 35473-2958
Authorised official
- Name
- Woodrow Washington
- Title
- Director
- Phone
- (205) 333-6245
Registered specialties
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1033353107
- Entity type
- Organization
- NPI issued
- 20 Apr 2009
- Record last updated
- 20 Apr 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.