Individual
DIRTRICE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1523 LINCOLN WAY W, SOUTH BEND, IN 46628-2419
(574) 292-5698
(574) 292-5698
Mailing address
1523 LINCOLN WAY W, SOUTH BEND, IN 46628-2419
(574) 292-5698
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
260201201
IN
Other
Enumeration date
05/05/2026
Last updated
05/05/2026
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