Healthcare Provider Details

I. General information

NPI: 1841115292
Provider Name (Legal Business Name): SIRENA MORRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

368 VININGS VINTAGE CIR
MABLETON GA
30126-7238
US

IV. Provider business mailing address

368 VININGS VINTAGE CIR
MABLETON GA
30126-7238
US

V. Phone/Fax

Practice location:
  • Phone: 404-309-9443
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: