Healthcare Provider Details

I. General information

NPI: 1629454491
Provider Name (Legal Business Name): MORRISON FAMILY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2015
Last Update Date: 10/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1051 JOHNSTON BND
ECRU MS
38841-9791
US

IV. Provider business mailing address

1051 JOHNSTON BND
ECRU MS
38841-9791
US

V. Phone/Fax

Practice location:
  • Phone: 662-419-0784
  • Fax:
Mailing address:
  • Phone: 662-419-0784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MRS. PAMELLA NICOLE MORRISON
Title or Position: CEO
Credential:
Phone: 662-419-0784