Individual
MR. WILLIAM HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 STERLING RD, JACKSONVILLE, NC 28546-8330
(910) 554-1355
Mailing address
104 STERLING RD, JACKSONVILLE, NC 28546-8330
(910) 554-1355
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL-067-143
NC
385H00000X
Respite Care
Primary
MHL-067-143
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3409469
—
NC
Enumeration date
01/22/2007
Last updated
09/11/2025
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