| Organization Name: | MORRELL'S FAMILY HOME |
| NPI Number: | 1265719116 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GLENDA MARIE PILLARS (OWNER OPERATOR) |
| Mailing Address: | 1212 110th Ave Martin |
| State: | MI US |
| Postal Code: | 490709721 |
| Phone Number: | 2696922400 |
| Fax Number: | 2696926020 |
| NPI Enumeration Date: | 11/07/2011 |
| NPI Last Update Date: | 11/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | AF030293174 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |