Provider Demographics
NPI:1598497547
Name:MORRIS, VIOLA LORTTA
Entity Type:Individual
Prefix:
First Name:VIOLA
Middle Name:LORTTA
Last Name:MORRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 WHITE ST E STE 102
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:SC
Mailing Address - Zip Code:29730-1100
Mailing Address - Country:US
Mailing Address - Phone:803-546-2637
Mailing Address - Fax:
Practice Address - Street 1:406 WHITE ST E STE 102
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:SC
Practice Address - Zip Code:29730-1100
Practice Address - Country:US
Practice Address - Phone:803-546-2637
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-28
Last Update Date:2022-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC263827163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health