MKW Enterprise Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

MKW ENTERPRISE INC.

Practice address

1505 29TH Ave
Northport, AL 35476-4156

Phone

(205) 826-0288

NPI assigned

Apr 20, 2009

Last updated

Apr 20, 2009By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Woodrow Washington III

Title

Director

Phone

(205) 333-6245

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1033353107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 28TH AVE",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354732958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 29TH AVE",
            "city": "NORTHPORT",
            "state": "AL",
            "postal_code": "354764156",
            "telephone_number": "205-826-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MKW ENTERPRISE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "WOODROW",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "205-333-6245",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Minor
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• Shannon L Montgomery, CRNA
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• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Northport, AL
• Providers in Northport, AL by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.