MEDICARE: DANA MORGAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	305R00000X	Preferred Provider Organization

General Provider Information

NPI Number	:	1538560180
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DANA MORGAN

Provider Business Mailing Address
First Line	:	985 STEVENSON RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44110-3175
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	985 STEVENSON RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44110-3175
Country	:	US
Telephone Number	:	216-258-6238
Fax Number	:

Authorized Official
Title or Position	:	PERSONAL CARE AID
Name	:	DANA MORGAN
Credential	:
Telephone Number	:	216-258-6238

Provider Enumeration Date	:	09/12/2014
Last Update Date	:	09/12/2014

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Directions to “DANA MORGAN ” Practice Location

Language	Start Address	Practice Location

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