Provider Demographics
NPI:1154446896
Name:M A W CARES, INC
Entity Type:Organization
Organization Name:M A W CARES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARGARETT
Authorized Official - Middle Name:AMANDA
Authorized Official - Last Name:WAITS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:314-367-3083
Mailing Address - Street 1:5082 PAGE BLVD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63113-1602
Mailing Address - Country:US
Mailing Address - Phone:314-367-3083
Mailing Address - Fax:314-367-3084
Practice Address - Street 1:5082 PAGE BLVD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63113-1602
Practice Address - Country:US
Practice Address - Phone:314-367-3083
Practice Address - Fax:314-367-3084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2015-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO065855251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO284815701Medicaid
MO264815705Medicaid