=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750339438
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | MORRIS HEALTH SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/04/2006
-----------------------------------------------------
Last Update Date | 02/05/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1001 SCOTTS AVE
-----------------------------------------------------
City | MORRIS
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 56267
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 320-589-1133
-----------------------------------------------------
Fax | 320-589-7955
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 801 NEVADA AVE
-----------------------------------------------------
City | MORRIS
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 56267-1865
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 320-589-2004
-----------------------------------------------------
Fax | 320-589-2543
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CFO
-----------------------------------------------------
Name | CURTIS BACH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 320-589-4910
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 314000000X
-----------------------------------------------------
Taxonomy Name | Skilled Nursing Facility
-----------------------------------------------------
License Number | 327812
-----------------------------------------------------
License Number State | MN
-----------------------------------------------------