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NPI Code Detail

MEDICARE: MARK MORRIS

MEDICARE: MARK MORRIS
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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1912426131
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARK MORRIS
Provider Business Mailing Address
First Line : 8876 EAGLEVIEW
Second Line : UNIT 8
City : WEST CHESTER
State : OH
Zip : 45069
Country : US
Telephone Number : 513-258-9059
Fax Number :
Provider Business Practice Location Address
First Line : 8876 EAGLEVIEW DR APT 8
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-6702
Country : US
Telephone Number : 513-258-9059
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2017
Last Update Date : 07/21/2022

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