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NPI Code Detail

MEDICARE: MORSELIFE HOUSING CORPORATION

MEDICARE: MORSELIFE HOUSING CORPORATION
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
12251G0304XGeriatric Physical Therapist
2207RG0300XGeriatric Medicine (Internal Medicine) Physician

General Provider Information

NPI Number : 1558319756
Entity Type Code : Organization
Provider Name (Legal Business Name) : MORSELIFE HOUSING CORPORATION
Provider Business Mailing Address
First Line : 4847 DAVID S MACK DR
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33417-8023
Country : US
Telephone Number : 561-209-6123
Fax Number : 561-209-6355
Provider Business Practice Location Address
First Line : 4920 LORING DR
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33417-8052
Country : US
Telephone Number : 561-209-6123
Fax Number : 561-209-6355
Authorized Official
Title or Position : CONTROLLER
Name : RANDY WOLAN
Credential :
Telephone Number : 561-209-6108
Provider Enumeration Date : 05/04/2006
Last Update Date : 01/23/2025

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Directions to “MORSELIFE HOUSING CORPORATION ” Practice Location

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