Provider Demographics
NPI:1467043703
Name:MORNING CENTER
Entity Type:Organization
Organization Name:MORNING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:
Authorized Official - Last Name:ILARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-209-0195
Mailing Address - Street 1:3638 MACON RD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38122-2209
Mailing Address - Country:US
Mailing Address - Phone:901-209-0195
Mailing Address - Fax:866-252-5243
Practice Address - Street 1:3638 MACON RD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38122-2209
Practice Address - Country:US
Practice Address - Phone:901-209-0195
Practice Address - Fax:866-252-5243
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MORNING CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetricsGroup - Single Specialty