MEDICARE: EASTERSEALS MORC HEALTH CARE, INC.

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1851686620
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EASTERSEALS MORC HEALTH CARE, INC.

Provider Business Mailing Address
First Line	:	2399 E WALTON BLVD
Second Line	:
City	:	AUBURN HILLS
State	:	MI
Zip	:	48326-1955
Country	:	US
Telephone Number	:	248-475-6300
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 E WEST MAPLE RD STE 100
Second Line	:
City	:	WALLED LAKE
State	:	MI
Zip	:	48390-3571
Country	:	US
Telephone Number	:	248-313-2900
Fax Number	:	248-313-2905

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	BRENT WIRTH
Credential	:
Telephone Number	:	248-475-6300

Provider Enumeration Date	:	06/09/2011
Last Update Date	:	10/01/2024

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