Healthcare Provider Details
I. General information
NPI: 1982020434
Provider Name (Legal Business Name): MORR YOUNG LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/07/2014
Last Update Date: 11/16/2022
Certification Date: 11/16/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2912 N STATE ROAD 7
MARGATE FL
33063-5730
US
IV. Provider business mailing address
2912 N STATE ROAD 7
MARGATE FL
33063-5730
US
V. Phone/Fax
- Phone: 954-366-1212
- Fax: 954-366-3896
- Phone: 954-366-1212
- Fax: 954-366-3896
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 385H00000X |
| Taxonomy | Respite Care |
| License Number | 9268 |
| License Number State | FL |
VIII. Authorized Official
Name:
JAVONNE
YOUNG
Title or Position: OWNER
Credential:
Phone: 954-692-4539