Individual provider · Type 1 NPI

Detra Morrison

Adult Care Home Facility · Lakeland, FL

NPI number 1396225249 Active

Practice location

5440 Old Highway 37
Lakeland, FL 33811-2331

Call (863) 877-6287 Map

Mailing address

PO Box 6462
Lakeland, FL 33807-6462

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone listed

Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

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About NPI 1396225249

Detra Morrison's National Provider Identifier is 1396225249, issued on Aug 20, 2018. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Lakeland, FL. The record was last updated on Aug 20, 2018.