Organization · Type 2 NPI

Harris Southeast Care Home

Adult Care Home Facility · West Memphis, AR

NPI number 1366590572 Active

Practice location

534 S 16th St
West Memphis, AR 72301-5631

Fax (870) 733-9153

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X345 (AR)

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.

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About NPI 1366590572

Harris Southeast Care Home's National Provider Identifier is 1366590572, issued on Jan 7, 2007. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in West Memphis, AR. The record was last updated on Aug 22, 2020.