Provider Demographics
NPI:1821800293
Name:MORSELIFE HOUSING CORPORATION, INC.
Entity type:Organization
Organization Name:MORSELIFE HOUSING CORPORATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-578-1173
Mailing Address - Street 1:4847 DAVID S MACK DRIVE
Mailing Address - Street 2:ATTN: BILLING DEPARTMENT
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417
Mailing Address - Country:US
Mailing Address - Phone:561-578-1173
Mailing Address - Fax:
Practice Address - Street 1:4880 LORING DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-8061
Practice Address - Country:US
Practice Address - Phone:561-209-6109
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MORSELIFE HOUSING CORPORATION, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-01-23
Last Update Date:2025-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility