Provider Demographics
NPI:1194043646
Name:MORRIV WOUND CARE SERVICES LLC.
Entity Type:Organization
Organization Name:MORRIV WOUND CARE SERVICES LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING (D.O.N)
Authorized Official - Prefix:MS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:EVELIA
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-397-4283
Mailing Address - Street 1:1850 SW 8TH ST
Mailing Address - Street 2:SUITE 204 C
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33135-3433
Mailing Address - Country:US
Mailing Address - Phone:305-960-7856
Mailing Address - Fax:305-960-7937
Practice Address - Street 1:1850 SW 8TH ST
Practice Address - Street 2:SUITE 204 C
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33135-3433
Practice Address - Country:US
Practice Address - Phone:305-960-7856
Practice Address - Fax:305-960-7937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-07
Last Update Date:2010-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9306996251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care