Healthcare Provider Details

I. General information

NPI: 1487460986
Provider Name (Legal Business Name): MORGAN GRIGSBY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/09/2024
Last Update Date: 12/09/2024
Certification Date: 12/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11651 NORBOURNE DR APT 114
CINCINNATI OH
45240-4451
US

IV. Provider business mailing address

11651 NORBOURNE DR APT 114
CINCINNATI OH
45240-4451
US

V. Phone/Fax

Practice location:
  • Phone: 513-254-5299
  • Fax:
Mailing address:
  • Phone: 513-254-5299
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171R00000X
TaxonomyInterpreter
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: