| Organization Name: | MJO DERMAL RESCUE INC |
| NPI Number: | 1013274844 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY JO OLDFORD (PRESIDENT) |
| Mailing Address: | 4181 Windmill Farms Milford |
| State: | MI US |
| Postal Code: | 483804279 |
| Phone Number: | 2488044323 |
| Fax Number: | |
| NPI Enumeration Date: | 04/18/2012 |
| NPI Last Update Date: | 04/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WW0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Wound Care |
| Taxonomy Definition: | |