Provider Demographics
NPI:1851628606
Name:MORNING STAR REHABILITATIVE SERVICES, INC.
Entity Type:Organization
Organization Name:MORNING STAR REHABILITATIVE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:RICHARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-653-1235
Mailing Address - Street 1:560 W WALKER AVE
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-6253
Mailing Address - Country:US
Mailing Address - Phone:336-653-1235
Mailing Address - Fax:336-879-3899
Practice Address - Street 1:560 W WALKER AVE
Practice Address - Street 2:
Practice Address - City:ASHEBORO
Practice Address - State:NC
Practice Address - Zip Code:27203-6253
Practice Address - Country:US
Practice Address - Phone:336-653-1235
Practice Address - Fax:336-879-3899
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-14
Last Update Date:2009-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health