# HARRIS SOUTHEAST CARE HOME

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366590572
- **Authorized official:** MRS. HELEN JEAN HARRIS (ADMINISTRATOR)
- **Authorized official phone:** (870) 732-1200

## Contact information

- **Practice address:** 534 S 16TH ST, WEST MEMPHIS, AR 72301-5631
- **Practice address phone:** (870) 732-1200
- **Practice address fax:** (870) 733-9153
- **Mailing address:** 534 S 16TH ST, WEST MEMPHIS, AR 72301-5631
- **Mailing address phone:** (870) 732-1200
- **Mailing address fax:** (870) 733-9153

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 345 | AR | Yes |

## Other

- **Enumeration date:** 01/07/2007
- **Last updated:** 08/22/2020