Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAXINE DELORES HARRIS
Active Sole ProprietorMAXINE DELORES HARRIS is a Assisted Living Facility healthcare provider located in ARCOLA, Mississippi. NPI 1417508110 is currently active in the NPPES registry. Verify at CMS.
Assisted Living Facility · ARCOLA, MS
Registration Details
- NPI Number
- 1417508110
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 24, 2019 (6.7037786290661 yrs)
- Last Updated
- Sep 24, 2019
- License
-
1043 (MS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
104 MARTIN LUTHER KING BLVDARCOLA, MS, 38722Browse MS providers · Browse ZIP 38722
- Phone
- 6628277500
- Fax
- 6628277347
- Primary Specialty
-
Assisted Living Facility
310400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.