Provider Demographics
NPI:1821781436
Name:MOREHOUSE, DEE
Entity Type:Individual
Prefix:
First Name:DEE
Middle Name:
Last Name:MOREHOUSE
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:PO BOX 163
Mailing Address - Street 2:
Mailing Address - City:CARSON
Mailing Address - State:ND
Mailing Address - Zip Code:58529-0163
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:112 GRANT ST APT 6
Practice Address - Street 2:
Practice Address - City:CARSON
Practice Address - State:ND
Practice Address - Zip Code:58529-4141
Practice Address - Country:US
Practice Address - Phone:701-891-1321
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-30
Last Update Date:2023-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty