Provider Demographics
NPI:1154512150
Name:SOCIAL & HEALTH SERVICES FRANCES HADDON MORGAN CC
Entity Type:Organization
Organization Name:SOCIAL & HEALTH SERVICES FRANCES HADDON MORGAN CC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDANT
Authorized Official - Prefix:
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:J
Authorized Official - Last Name:KIRK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-475-3480
Mailing Address - Street 1:3423 6TH ST
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98312-3555
Mailing Address - Country:US
Mailing Address - Phone:360-475-3480
Mailing Address - Fax:360-475-3455
Practice Address - Street 1:3423 6TH ST
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98312-3555
Practice Address - Country:US
Practice Address - Phone:360-475-3480
Practice Address - Fax:360-475-3455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-05
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities