Healthcare Provider Details

I. General information

NPI: 1245697747
Provider Name (Legal Business Name): MORGAN HILL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MORGAN MURON

II. Dates (important events)

Enumeration Date: 01/28/2016
Last Update Date: 11/02/2021
Certification Date: 11/02/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27777 INKSTER RD STE 100
FARMINGTON HILLS MI
48334-5326
US

IV. Provider business mailing address

1500 PLATTE DR
GRAND BLANC MI
48439-7396
US

V. Phone/Fax

Practice location:
  • Phone: 248-436-4476
  • Fax:
Mailing address:
  • Phone: 248-759-1685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code247200000X
TaxonomyOther Technician
License NumberM650609421394
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: