Provider Demographics
NPI:1992081434
Name:THE MORRIS CENTER
Entity type:Organization
Organization Name:THE MORRIS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TIM
Authorized Official - Middle Name:W
Authorized Official - Last Name:CONWAY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:352-275-5778
Mailing Address - Street 1:3021 SW 27TH AVE
Mailing Address - Street 2:UNIT 2
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-0105
Mailing Address - Country:US
Mailing Address - Phone:352-275-5778
Mailing Address - Fax:352-404-5494
Practice Address - Street 1:3021 SW 27TH AVE
Practice Address - Street 2:UNIT 2
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-0105
Practice Address - Country:US
Practice Address - Phone:352-275-5778
Practice Address - Fax:352-404-5494
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-28
Last Update Date:2011-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME88464261QD1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities