Provider Demographics
NPI:1891082251
Name:THE VILLAGE AT MORRISONS COVE
Entity Type:Organization
Organization Name:THE VILLAGE AT MORRISONS COVE
Other - Org Name:VILLAGE IN PLACE HOSPICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:ROSAMILIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:814-793-5233
Mailing Address - Street 1:429 S MARKET ST
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:16662-1005
Mailing Address - Country:US
Mailing Address - Phone:814-793-5233
Mailing Address - Fax:814-793-5230
Practice Address - Street 1:439A S MARKET ST
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:PA
Practice Address - Zip Code:16662-1005
Practice Address - Country:US
Practice Address - Phone:814-793-5233
Practice Address - Fax:814-793-5230
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-06
Last Update Date:2011-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based