- Enrollment id
- O20111215000480
- Enrollment state
- PA
- Provider type code
- 00-08
- Provider type text
- PART A PROVIDER - HOSPICE
- Npi
- 1891082251
- Multiple npi flag
- N
- Ccn
- 391752
- Associate id
- 0941335590
- Organization name
- THE VILLAGE AT MORRISONS COVE
- Doing business as name
- VILLAGE IN PLACE HOSPICE
- Incorporation date
- 1904-06-07
- Incorporation state
- PA
- Organization type structure
- CORPORATION
- Proprietary nonprofit
- N
- Address line 1
- 429 S MARKET ST
- City
- MARTINSBURG
- State
- PA
- Zip code
- 166621005