Individual provider · Type 1 NPI
Stephon Harris
Adult Care Home Facility · Charleston, WV
NPI number
1164330833
Active
Practice location
612 Randolph St
Charleston, WV 25302-2021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
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.
Other adult care home facility providers in Charleston
About NPI 1164330833
Stephon Harris's National Provider Identifier is 1164330833, issued on Sep 1, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Charleston, WV. The record was last updated on Sep 1, 2026.