Provider Demographics
NPI:1871251850
Name:MORANT, EBONY (HOMECARE AGENCY)
Entity Type:Individual
Prefix:
First Name:EBONY
Middle Name:
Last Name:MORANT
Suffix:
Gender:F
Credentials:HOMECARE AGENCY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:226 BERKLEY AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-4804
Mailing Address - Country:US
Mailing Address - Phone:412-877-8902
Mailing Address - Fax:
Practice Address - Street 1:226 BERKLEY AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-4804
Practice Address - Country:US
Practice Address - Phone:412-877-8902
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-07
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA61423601253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care