Mjcare

Organization Active NPI Physical Disabilities Residential Treatment Facility · Iola, WI

NPI 1326437294 · NPPES record last updated Jan 15, 2015

Key facts

NPI
1326437294
Entity type
Organization (NPI type 2)
Primary specialty
Physical Disabilities Residential Treatment Facility 320700000X
License
2194-19 (WI)
Legal business name
MJCARE
Practice address
325 E. Iola St.
Iola, WI 54945
Phone
(715) 445-2412
NPI assigned
Jan 15, 2015
Organization subpart
No

Authorized official

Name
Amanda Beck
Title
Rehab Director
Phone
(715) 445-2412

Corporate family (same tax ID) 2

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Mjcare Inc (3 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Acute Care Hospital 282NR1301X 2194-19 WI
Physical Disabilities Residential Treatment Facility 320700000X 2194-19 WI Yes

Addresses

Primary practice location

325 E. Iola St.
Iola, WI 54945

Mailing address

325 E. Iola St.
Iola, WI 54945
Phone (715) 445-2412

Other providers in Iola, WI

All providers in Iola, WI · Physical Disabilities Residential Treatment Facility in Wisconsin

Sources for this page

Verify at the official NPI Registry.