Provider Demographics
NPI:1285137927
Name:MOREHOUSE HEALTHCARE, INC.
Entity type:Organization
Organization Name:MOREHOUSE HEALTHCARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR - EMPLOYEE HELATH SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:SARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:CATHCART
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-756-1353
Mailing Address - Street 1:1513 CLEVELAND AVE STE 500B
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30344-6949
Mailing Address - Country:US
Mailing Address - Phone:404-756-1241
Mailing Address - Fax:404-756-1237
Practice Address - Street 1:1513 CLEVELAND AVE STE 500B
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30344-6949
Practice Address - Country:US
Practice Address - Phone:404-756-1241
Practice Address - Fax:404-756-1237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-08
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training ProgramGroup - Multi-Specialty