1518110626 NPI number — MORNING GLORY SOLUTIONS INC

Table of content: (NPI 1518110626)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518110626 NPI number — MORNING GLORY SOLUTIONS INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MORNING GLORY SOLUTIONS INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
FAMILY CONNECTIONS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518110626
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/03/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
112 S FIRST AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALPENA
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49707-2812
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
989-358-9393
Provider Business Mailing Address Fax Number:
989-358-9390

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
112 S FIRST AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALPENA
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49707-2812
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
989-358-9393
Provider Business Practice Location Address Fax Number:
989-358-9390
Provider Enumeration Date:
11/03/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
THOMPSON
Authorized Official First Name:
JUDITH
Authorized Official Middle Name:
KATHRYN
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
989-358-9393

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X , with the licence number:  4704107151 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 6801008989 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 6801085677 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 6801066322 , registered in the state of MI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1760533186 . This is a "INDIVIDUAL NPI" identifier . This identifiers is of the category "OTHER".