Individual provider · Type 1 NPI
Maxine Rosemarie Harris
Adult Care Home Facility · Queens Village, NY
NPI number
1023377611
Active
Practice location
220-08 109 Avenue
Queens Village, NY 11429
Mailing address
22008 109th Ave
Queens Village, NY 11429-2515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | 460234-1 (NY) |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1023377611
Maxine Rosemarie Harris's National Provider Identifier is 1023377611, issued on May 16, 2012. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Queens Village, NY. The record was last updated on May 16, 2012.