=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306458898
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MORGAN HOSPICE AND PALLIATIVE CARE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/18/2020
-----------------------------------------------------
Last Update Date | 08/18/2020
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16519 VICTOR ST STE 301
-----------------------------------------------------
City | VICTORVILLE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92395-3967
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 747-444-4777
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16519 VICTOR ST STE 301
-----------------------------------------------------
City | VICTORVILLE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92395-3967
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 747-444-4777
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT/CEO
-----------------------------------------------------
Name | MS. SIMONA MORGAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 747-444-4777
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251G00000X
-----------------------------------------------------
Taxonomy Name | Community Based Hospice Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------