Individual
JEFFERY HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
930 BURT RD, GREENVILLE, AL 36037-7606
(334) 437-0855
Mailing address
930 BURT RD, GREENVILLE, AL 36037-7606
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
5177502
AL
Other
Enumeration date
11/26/2024
Last updated
11/26/2024
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