Individual
SAMANTHA C HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
801 35TH ST APT B, GULFPORT, MS 39501-7107
(601) 454-1677
Mailing address
1520 29TH AVE STE 14, GULFPORT, MS 39501-2843
(228) 263-4420
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
800034164
MS
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
05/31/2022
Last updated
07/21/2023
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