Provider Demographics
NPI:1386796217
Name:JOSEPH L MORSE HEALTH CENTER, INC.
Entity type:Organization
Organization Name:JOSEPH L MORSE HEALTH CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO / SR VP OF FINANCE
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:561-687-5753
Mailing Address - Street 1:4847 DAVID S MACK DR
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33417-8023
Mailing Address - Country:US
Mailing Address - Phone:561-471-5111
Mailing Address - Fax:561-689-8718
Practice Address - Street 1:4847 DAVID S MACK DR
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33417-8023
Practice Address - Country:US
Practice Address - Phone:561-471-5111
Practice Address - Fax:561-689-8718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-18
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSNF1261096314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL020738100Medicaid
FL105801Medicare ID - Type UnspecifiedMEDICARE