Provider Demographics
NPI:1780402297
Name:MWC INDUSTRIES LLC
Entity type:Organization
Organization Name:MWC INDUSTRIES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CORY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-695-4510
Mailing Address - Street 1:7010 W CACTUS WREN DR
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85303-2687
Mailing Address - Country:US
Mailing Address - Phone:816-695-4510
Mailing Address - Fax:
Practice Address - Street 1:7010 W CACTUS WREN DR
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85303-2687
Practice Address - Country:US
Practice Address - Phone:816-695-4510
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No251K00000XAgenciesPublic Health or Welfare
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care