Provider Demographics
NPI:1629454491
Name:MORRISON FAMILY SERVICES, LLC
Entity Type:Organization
Organization Name:MORRISON FAMILY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:PAMELLA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:MORRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:662-419-0784
Mailing Address - Street 1:1051 JOHNSTON BND
Mailing Address - Street 2:
Mailing Address - City:ECRU
Mailing Address - State:MS
Mailing Address - Zip Code:38841-9791
Mailing Address - Country:US
Mailing Address - Phone:662-419-0784
Mailing Address - Fax:
Practice Address - Street 1:1051 JOHNSTON BND
Practice Address - Street 2:
Practice Address - City:ECRU
Practice Address - State:MS
Practice Address - Zip Code:38841-9791
Practice Address - Country:US
Practice Address - Phone:662-419-0784
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-04
Last Update Date:2015-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite Care