- Enrollment id
- O20130703000204
- Enrollment state
- TX
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1730522483
- Multiple npi flag
- N
- Ccn
- 741608
- Associate id
- 7416019922
- Organization name
- MORRIS INFINITE HEALTHCARE SERVICES INCORPORATED
- Incorporation date
- 2006-05-23
- Incorporation state
- TX
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- P
- Address line 1
- 7920 BELT LINE RD
- Address line 2
- STE 830
- City
- DALLAS
- State
- TX
- Zip code
- 752548407