Individual provider · Type 1 NPI
Fallon Harris
Pediatric Skilled Nursing Facility · Grand Rapids, MI
NPI number
1215804463
Active
Practice location
280 Ann St NW Ste 200
Grand Rapids, MI 49504-2016
Mailing address
201 Perdue Rd
Quitman, GA 31643-3651
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatric Skilled Nursing Facility Primary | 3140N1450X | None listed |
Pediatric Skilled Nursing Facility: A nursing care facility designed and staffed for the provision of nursing care and appropriate educational and habilitative/rehabilitative services to children with multiple, complex or profound disabilities that can not be cared for in a less restrictive environment.
2 other providers at this address
About NPI 1215804463
Fallon Harris's National Provider Identifier is 1215804463, issued on Oct 22, 2025. The primary taxonomy on file is Pediatric Skilled Nursing Facility (3140N1450X), and the practice location is in Grand Rapids, MI. The record was last updated on Oct 22, 2025.