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Miss Maxine Rosemarie Harris
Adult Care Home Facility in Queens Village, New York
NPI 1023377611

Maxine Rosemarie Harris is an Adult Care Home Facility based in Queens Village, NY and is specialized in Adult Care Home. Maxine Rosemarie Harris practices in Queens Village, NY. The NPI Number for Maxine Rosemarie Harris is 1023377611 and holds a License No. 460234-1 (New York).

The current practice location address for Maxine Rosemarie Harris is 220-08 109 Avenue, Queens Village, NY and can be reached out via phone at 917-226-7249.

Location: 220-08 109 Avenue, Queens Village, NY, 11429-2515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1023377611
Provider Name
Maxine Rosemarie Harris
Credential
Provider Entity Type
Individual
Gender
Female
Address
220-08 109 Avenue, Queens Village, NY, 11429-2515
Phone Number
917-226-7249
Fax Number
Provider Enumeration Date
05/16/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TF7175290 01 NY NPI
institution
Provider Business Practice Location Address Details
Address
220-08 109 Avenue
City
Queens Village
State
New York
Zip
11429
Phone Number
917-226-7249
Fax Number
person
Provider Business Mailing Address Details
Address
220-08 109 Avenue
City
Queens Village
State
New York
Zip
11429
Phone Number
917-226-7249
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
460234-1 (New York)
Definition
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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