Provider Demographics
NPI:1841053691
Name:MORAMI HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:MORAMI HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AMINDOS
Authorized Official - Middle Name:F
Authorized Official - Last Name:MORFAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-850-1043
Mailing Address - Street 1:16601 FLOTILLA WAY
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22191-6329
Mailing Address - Country:US
Mailing Address - Phone:305-850-1043
Mailing Address - Fax:
Practice Address - Street 1:16601 FLOTILLA WAY
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-6329
Practice Address - Country:US
Practice Address - Phone:305-850-1043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care