| Organization Name: | MNR INDUSTRIES, LLC |
| NPI Number: | 1164646774 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAURICE NATHANIEL REID (MEDICAL DIRECTOR) |
| Mailing Address: | 9832 York Rd Suite F Cockeysville |
| State: | MD US |
| Postal Code: | 210304936 |
| Phone Number: | 4106281861 |
| Fax Number: | 4106281862 |
| NPI Enumeration Date: | 04/13/2007 |
| NPI Last Update Date: | 08/06/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | D0058088 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MD |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |