Individual
SENTHAN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
108 E SOUTH ST, HOLLANDALE, MS 38748-3834
(662) 827-2211
(662) 827-5766
Mailing address
108 E SOUTH ST, P.O. BOX 351, HOLLANDALE, MS 38748-3834
(662) 827-2211
(662) 827-5766
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073908679
—
MS
05
—
1295955185
—
MS
05
—
1821398389
—
MS
05
—
1972808152
—
MS
Enumeration date
01/19/2011
Last updated
06/01/2020
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