Healthcare Provider Details

I. General information

NPI: 1255664876
Provider Name (Legal Business Name): THE MORRIS FOUNDATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2009
Last Update Date: 09/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3519 SEABROOK AVE
COLUMBUS OH
43227-3245
US

IV. Provider business mailing address

PO BOX 27167
COLUMBUS OH
43227-0167
US

V. Phone/Fax

Practice location:
  • Phone: 614-216-4022
  • Fax:
Mailing address:
  • Phone: 614-216-4022
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number2547613
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. ANGELA NICOLE MORRIS
Title or Position: CO-DIRECTOR
Credential:
Phone: 614-216-4022