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NPI Code Detail

MEDICARE: JUANITA MORRIS

MEDICARE: JUANITA MORRIS
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
1172V00000XCommunity Health WorkerTU245477OH

General Provider Information

NPI Number : 1750246120
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUANITA MORRIS
Provider Business Mailing Address
First Line : 2359 KNOLLWOOD AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44514-1525
Country : US
Telephone Number : 216-260-1405
Fax Number : 330-632-8823
Provider Business Practice Location Address
First Line : 850 HOWLAND WILSON RD NE
Second Line :
City : WARREN
State : OH
Zip : 44484-2116
Country : US
Telephone Number : 216-260-1405
Fax Number : 330-632-8823
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/18/2025
Last Update Date : 12/18/2025

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Directions to “ JUANITA MORRIS ” Practice Location

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