Basic Information
| Provider Information | |||||||||
| NPI: | 1003016767 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MORGAN | ||||||||
| FirstName: | NORA | ||||||||
| MiddleName: | J. | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1197 W CARLETON RD | ||||||||
| Address2: | |||||||||
| City: | ADRIAN | ||||||||
| State: | MI | ||||||||
| PostalCode: | 492219110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5172635254 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1197 W CARLETON RD | ||||||||
| Address2: | |||||||||
| City: | ADRIAN | ||||||||
| State: | MI | ||||||||
| PostalCode: | 492219110 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5172635254 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/20/2007 | ||||||||
| LastUpdateDate: | 04/28/2009 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 332BC3200X | D38-3044773 | MI | Y | Suppliers | Durable Medical Equipment & Medical Supplies | Customized Equipment |
No ID Information.