Provider Demographics
NPI:1407335219
Name:MORSELIFE HOSPICE INSTITUTE, INC.
Entity Type:Organization
Organization Name:MORSELIFE HOSPICE INSTITUTE, INC.
Other - Org Name:PALM BEACH HOSPICE BY MORSELIFE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO / SR VP OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-209-6108
Mailing Address - Street 1:4847 DAVID MACK DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-8023
Mailing Address - Country:US
Mailing Address - Phone:561-868-6573
Mailing Address - Fax:561-242-1768
Practice Address - Street 1:4876 N MORSELIFE DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-8022
Practice Address - Country:US
Practice Address - Phone:561-868-6573
Practice Address - Fax:561-242-1768
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-13
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based