Individual
MARLENE RENITA HARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
814 LINDSEY ST, REIDSVILLE, NC 27320-3112
(336) 280-1358
(336) 347-0248
Mailing address
814 LINDSEY ST, REIDSVILLE, NC 27320-3112
(336) 280-1358
(336) 347-0248
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-079-113
NC
Other
Enumeration date
10/27/2019
Last updated
07/06/2020
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