Organization · Type 2 NPI

Nicole Harris

Nursing Facility/Intermediate Care Facility · Newark, NY

NPI number 1992186712 Active

Practice location

132 Willow Avenue
Newark, NY 14513

Mailing address

132 Willow Aveneue
Newark, NY 14513

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X691244271 (NY)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

About NPI 1992186712

Nicole Harris's National Provider Identifier is 1992186712, issued on Jun 17, 2015. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Newark, NY. The record was last updated on Jun 17, 2015.