Provider Demographics
NPI:1497019525
Name:MJW & ASSOCIATES CORP
Entity Type:Organization
Organization Name:MJW & ASSOCIATES CORP
Other - Org Name:MJW & ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-638-1010
Mailing Address - Street 1:3925 N MARTIN L KING BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:NORTH LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89032-7676
Mailing Address - Country:US
Mailing Address - Phone:702-638-1010
Mailing Address - Fax:
Practice Address - Street 1:3925 N MARTIN L KING BLVD STE 208
Practice Address - Street 2:
Practice Address - City:NORTH LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89032-7676
Practice Address - Country:US
Practice Address - Phone:702-638-1010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-04
Last Update Date:2012-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251B00000XAgenciesCase Management
No251F00000XAgenciesHome Infusion
No251V00000XAgenciesVoluntary or Charitable
No253J00000XAgenciesFoster Care Agency