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Organization

SAMUEL D MORRIS

Active
Other names
S. David Morris
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. LINDA JO BLENKER B.A. (BILLING MANAGER)
(304) 263-8911
Entity
Organization

Contact information

Practice address
209 CLOVER ST, MARTINSBURG, WV 25404-3803
(304) 263-8921
Mailing address
92 HALIFAX CT, MARTINSBURG, WV 25403-5075
(304) 267-3810

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
12716
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0057046000
WV
01
080020708
RAILROAD INDIVIDUAL ID#
WV
Enumeration date
10/23/2008
Last updated
01/14/2009
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