Provider Demographics
NPI:1598566556
Name:MORROW, KASANDRA LATONYA (HHA)
Entity type:Individual
Prefix:
First Name:KASANDRA
Middle Name:LATONYA
Last Name:MORROW
Suffix:
Gender:
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3516 FAIR LN
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45416-1208
Mailing Address - Country:US
Mailing Address - Phone:937-460-1015
Mailing Address - Fax:
Practice Address - Street 1:3016 OAKRIDGE DR
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45417-1554
Practice Address - Country:US
Practice Address - Phone:937-460-1015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2949374925372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion