Provider Demographics
NPI:1538360151
Name:MORSE ENTERPRISES INC
Entity type:Organization
Organization Name:MORSE ENTERPRISES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR - OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:MORSE-BOLTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:712-374-2296
Mailing Address - Street 1:2876 230TH ST
Mailing Address - Street 2:
Mailing Address - City:SIDNEY
Mailing Address - State:IA
Mailing Address - Zip Code:51652-6086
Mailing Address - Country:US
Mailing Address - Phone:712-374-2296
Mailing Address - Fax:
Practice Address - Street 1:2876 230TH ST
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:IA
Practice Address - Zip Code:51652-6086
Practice Address - Country:US
Practice Address - Phone:712-374-2296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2007-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA360305311Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA0468629Medicaid
IA0764480Medicaid
IA0433169Medicaid
IA0896902Medicaid