Individual
FALLON HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
280 ANN ST NW STE 200, GRAND RAPIDS, MI 49504-2016
(448) 488-2912
Mailing address
201 PERDUE RD, QUITMAN, GA 31643-3651
(448) 488-2912
Taxonomy
Speciality
Code
Description
License number
State
3140N1450X
Pediatric Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/22/2025
Last updated
10/22/2025
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