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NPI Code Detail

MEDICARE: MJW & ASSOCIATES CORP

MEDICARE: MJW & ASSOCIATES CORP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251B00000XCase Management Agency
2251F00000XHome Infusion Agency
3251V00000XVoluntary or Charitable Agency
4253J00000XFoster Care Agency
5251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1497019525
Entity Type Code : Organization
Provider Name (Legal Business Name) : MJW & ASSOCIATES CORP
Provider Business Mailing Address
First Line : 3925 N MARTIN L KING BLVD STE 208
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-7676
Country : US
Telephone Number : 702-638-1010
Fax Number :
Provider Business Practice Location Address
First Line : 3925 N MARTIN L KING BLVD STE 208
Second Line :
City : NORTH LAS VEGAS
State : NV
Zip : 89032-7676
Country : US
Telephone Number : 702-638-1010
Fax Number :
Authorized Official
Title or Position : BUSINESS OWNER
Name : MARTHA LYNN WILLIAMS
Credential :
Telephone Number : 702-638-1010
Provider Enumeration Date : 07/04/2012
Last Update Date : 07/04/2012

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Directions to “MJW & ASSOCIATES CORP ” Practice Location

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