Healthcare Provider Details

I. General information

NPI: 1174312441
Provider Name (Legal Business Name): MARY JULIA MORRISON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2025
Last Update Date: 05/03/2025
Certification Date: 05/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 E ALBERT ST
LIMA OH
45804-1601
US

IV. Provider business mailing address

519 E ALBERT ST
LIMA OH
45804-1601
US

V. Phone/Fax

Practice location:
  • Phone: 419-204-9644
  • Fax: 419-204-9644
Mailing address:
  • Phone: 419-204-9644
  • Fax: 419-204-9644

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 Code376J00000X
TaxonomyHomemaker
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: