Healthcare Provider Details

I. General information

NPI: 1174630792
Provider Name (Legal Business Name): MORROW CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 STATE ROUTE 61
MARENGO OH
43334-9215
US

IV. Provider business mailing address

PO BOX 10
MARENGO OH
43334-0010
US

V. Phone/Fax

Practice location:
  • Phone: 419-253-0144
  • Fax: 419-253-0146
Mailing address:
  • Phone: 419-253-0144
  • Fax: 419-253-0146

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number2258
License Number StateOH

VIII. Authorized Official

Name: TAMARA K SHEPHERD
Title or Position: VICE PRESIDENT OF FINANCE
Credential:
Phone: 614-847-1070