Individual provider · Type 1 NPI
Mildred Harris, ADMINISTRATOR
Adult Care Home Facility · Beaufort, NC
NPI number
1366635120
Active
Practice location
834 Hwy 101
Beaufort, NC 28516-7717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | FCL016-013 (NC) |
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 1366635120
Mildred Harris, ADMINISTRATOR's National Provider Identifier is 1366635120, issued on Aug 23, 2007. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Beaufort, NC. The record was last updated on Jun 23, 2008.