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Brandy Nicole Harrison, COTA/L
Assisted Living Facility in Greenville, South Carolina
NPI 1003131152

Brandy Nicole Harrison is an Assisted Living Facility based in Mauldin, SC. Brandy Nicole Harrison practices in Greenville, SC and has the professional credentials of COTA/L. The NPI Number for Brandy Nicole Harrison is 1003131152 and holds a License No. 2819 (South Carolina).

The current practice location address for Brandy Nicole Harrison is 850 E Butler Rd, Greenville, SC and can be reached out via phone at 864-675-6421. You can also correspond with Brandy Nicole Harrison through the mailing address at 38 ENDEAVOR CIR, MAULDIN, SC - 29662-2451 (mailing address contact number: 864-940-5197).

Location: 850 E Butler Rd, Greenville, SC, 29662-2451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003131152
Provider Name
Brandy Nicole Harrison
Credential
COTA/L
Provider Entity Type
Individual
Gender
Female
Address
850 E Butler Rd, Greenville, SC, 29662-2451
Phone Number
864-675-6421
Fax Number
Provider Enumeration Date
04/01/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
850 E Butler Rd
City
Greenville
State
South Carolina
Zip
29607-5842
Phone Number
864-675-6421
Fax Number
person
Provider Business Mailing Address Details
Address
38 Endeavor Cir
City
Mauldin
State
South Carolina
Zip
29662-2451
Phone Number
864-940-5197
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
2819 (South Carolina)
Definition
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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