Individual provider · Type 1 NPI

Olympia Tabita Harris

Adult Care Home Facility · Vancouver, WA

NPI number 1861664971 Active

Practice location

7301 Mississippi Dr
Vancouver, WA 98664

Call (360) 694-5480 Map

Fax (360) 750-4892

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X650700 (WA)

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 1861664971

Olympia Tabita Harris's National Provider Identifier is 1861664971, issued on Mar 28, 2008. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Vancouver, WA. The record was last updated on Mar 28, 2008.