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NPI Code Detail

MEDICARE: EASTERSEALS MORC HEALTH CARE, INC.

MEDICARE: EASTERSEALS MORC HEALTH CARE, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1073956736
Entity Type Code : Organization
Provider Name (Legal Business Name) : EASTERSEALS MORC HEALTH CARE, INC.
Provider Business Mailing Address
First Line : 2399 E WALTON BLVD
Second Line :
City : AUBURN HILLS
State : MI
Zip : 48326-1955
Country : US
Telephone Number : 248-475-6300
Fax Number :
Provider Business Practice Location Address
First Line : 955 CAMPUS DR N
Second Line :
City : WATERFORD
State : MI
Zip : 48328-2754
Country : US
Telephone Number : 248-475-6300
Fax Number : 248-475-6370
Authorized Official
Title or Position : PRESIDENT & CEO
Name : BRENT WIRTH
Credential :
Telephone Number : 248-475-6400
Provider Enumeration Date : 04/12/2013
Last Update Date : 10/01/2024

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Directions to “EASTERSEALS MORC HEALTH CARE, INC. ” Practice Location

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