Provider Demographics
NPI:1831475540
Name:MKW RESPITE CONNECTIONS, INC
Entity Type:Organization
Organization Name:MKW RESPITE CONNECTIONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:K
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:LISW
Authorized Official - Phone:614-774-1120
Mailing Address - Street 1:280 E SCHROCK RD
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-3451
Mailing Address - Country:US
Mailing Address - Phone:614-774-1120
Mailing Address - Fax:
Practice Address - Street 1:280 E SCHROCK RD
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-3451
Practice Address - Country:US
Practice Address - Phone:614-774-1120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care