Organization
EAST COAST PRIME ENTERPRISE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUTUMN HARRIS (OWNER)
(704) 297-8211
Entity
Organization
Contact information
Practice address
507 LEE DR, SHELBY, NC 28152-7615
(704) 297-8211
Mailing address
507 LEE DR, SHELBY, NC 28152-7615
(704) 297-8211
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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