=====================================================
General NPI Number Information
=====================================================
NPI Number | 1073198420
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ERICCA LOREINE BLAKE MORGAN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/16/2021
-----------------------------------------------------
Last Update Date | 03/16/2021
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | BEYOND CARE STAFFING & HEALTH SERVICES 8 BLUE SKY DRIVE
-----------------------------------------------------
City | OWINGS MILLS, MD
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21117
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-572-7880
-----------------------------------------------------
Fax | 410-363-1369
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | BEYOND CARE STAFFING & HEALTH SERVICES, LLC 8 BLUE SKY DRIVE
-----------------------------------------------------
City | OWINGS MILLS, MD
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21117-0741
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-572-7880
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 376K00000X
-----------------------------------------------------
Taxonomy Name | Nurse's Aide
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------