# MELYNDA MORGAN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497144208
- **Authorized official:** MRS. MELYNDA MARIE MORGAN STNA (STATE TESTED NURSING ASSISTANT)
- **Authorized official phone:** (567) 712-1412

## Contact information

- **Practice address:** 922 BURCH AVE, LIMA, OH 45801-3614
- **Practice address phone:** (567) 712-1412
- **Mailing address:** 922 BURCH AVE, LIMA, OH 45801-3614
- **Mailing address phone:** (567) 712-1412

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 401252400611 | OH | Yes |

## Other

- **Enumeration date:** 01/16/2015
- **Last updated:** 01/16/2015
