Provider Demographics
NPI:1366297988
Name:MORITRAC LLC
Entity type:Organization
Organization Name:MORITRAC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SEANA
Authorized Official - Middle Name:
Authorized Official - Last Name:STRIMBACK
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:719-221-4709
Mailing Address - Street 1:1755 N PEBBLE CREEK PKWY # 1218
Mailing Address - Street 2:
Mailing Address - City:GOODYEAR
Mailing Address - State:AZ
Mailing Address - Zip Code:85395-2532
Mailing Address - Country:US
Mailing Address - Phone:623-335-6674
Mailing Address - Fax:
Practice Address - Street 1:5167 N 183RD DR
Practice Address - Street 2:
Practice Address - City:LITCHFIELD PARK
Practice Address - State:AZ
Practice Address - Zip Code:85340-4588
Practice Address - Country:US
Practice Address - Phone:719-221-4709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-18
Last Update Date:2024-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No174H00000XOther Service ProvidersHealth EducatorGroup - Multi-Specialty
No251K00000XAgenciesPublic Health or WelfareGroup - Multi-Specialty
No163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Multi-Specialty