Organization
HARRIS PERSONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MINNIE HARRIS (OFFICE MANAGER)
(318) 283-7572
Entity
Organization
Contact information
Practice address
148 S LIBERTY ST, BASTROP, LA 71220-4623
(318) 283-7572
(318) 283-7573
Mailing address
148 S LIBERTY ST, BASTROP, LA 71220-4623
(318) 283-7572
(318) 283-7573
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7477
—
332B00000X
Durable Medical Equipment & Medical Supplies
7477
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529605
—
LA
Enumeration date
05/19/2008
Last updated
05/19/2008
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