Healthcare Provider Details

I. General information

NPI: 1386796217
Provider Name (Legal Business Name): JOSEPH L MORSE HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 10/23/2023
Certification Date: 10/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4847 DAVID S MACK DR
WEST PALM BEACH FL
33417-8023
US

IV. Provider business mailing address

4847 DAVID S MACK DR
WEST PALM BEACH FL
33417-8023
US

V. Phone/Fax

Practice location:
  • Phone: 561-471-5111
  • Fax: 561-689-8718
Mailing address:
  • Phone: 561-471-5111
  • Fax: 561-689-8718

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License NumberSNF1261096
License Number StateFL

VIII. Authorized Official

Name: RANDY WOLAN
Title or Position: CFO / SR VP OF FINANCE
Credential:
Phone: 561-687-5753