MEDICARE: MURPHY'S FAMILY HOME 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
1	251C00000X	Developmentally Disabled Services Day Training Agency	4802691	OH

General Provider Information

NPI Number	:	1083962112
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MURPHY'S FAMILY HOME INC.

Provider Business Mailing Address
First Line	:	1428 NORTH DETROIT AVE.
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607
Country	:	US
Telephone Number	:	419-867-1552
Fax Number	:

Provider Business Practice Location Address
First Line	:	1428 N DETROIT AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43607-1844
Country	:	US
Telephone Number	:	419-867-1552
Fax Number	:

Authorized Official
Title or Position	:	CEO OWNER
Name	:	MS. TANYA MARRIA MURPHY
Credential	:
Telephone Number	:	419-867-1552

Provider Enumeration Date	:	08/21/2012
Last Update Date	:	08/21/2012

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