Organization
HATTIE MORGAN HOUSE LLC
Active
Other names
Hattie Morgan House LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KERUSHEL A ROLLINS (OWNER)
(850) 716-5628
Entity
Organization
Contact information
Practice address
637 KISSIMMEE ST, TALLAHASSEE, FL 32310-5410
(850) 716-5628
Mailing address
637 KISSIMMEE ST, TALLAHASSEE, FL 32310-5410
(850) 716-5628
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
FL
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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