Individual provider · Type 1 NPI

Willie Esau Harris, LVN

Assisted Living Facility · Lancaster, CA

NPI number 1962661330 Active

Practice location

6248 W Avenue J11
Lancaster, CA 93536-1716

Fax (661) 943-9877

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1962661330

Willie Esau Harris, LVN's National Provider Identifier is 1962661330, issued on Jun 2, 2008. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Lancaster, CA. The record was last updated on Jun 2, 2008.