Provider Demographics
NPI:1437847415
Name:MORRIS SALONS
Entity Type:Organization
Organization Name:MORRIS SALONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAKWAUN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:910-260-8233
Mailing Address - Street 1:109 W ELWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-2801
Mailing Address - Country:US
Mailing Address - Phone:910-260-8233
Mailing Address - Fax:
Practice Address - Street 1:109 W ELWOOD AVE
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-2801
Practice Address - Country:US
Practice Address - Phone:910-260-8233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-27
Last Update Date:2023-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier