Provider Demographics
NPI:1871108266
Name:MORGAN, ARLENE
Entity type:Individual
Prefix:
First Name:ARLENE
Middle Name:
Last Name:MORGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8781 COTTONWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-4705
Mailing Address - Country:US
Mailing Address - Phone:513-931-1905
Mailing Address - Fax:
Practice Address - Street 1:8781 COTTONWOOD DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-4705
Practice Address - Country:US
Practice Address - Phone:513-317-4154
Practice Address - Fax:513-729-4438
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-11
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0373615376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0773615Medicaid