| NPI | 1245697168 |
|---|---|
| Former Legal Business Name | HATTIE MORGAN HOUSE LLC |
| Entity Type | Organization |
| Authorized Contact | KERUSHEL A ROLLINS Owner 850-716-5628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2016-01-22 |