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Mr. William Harris
Respite Care in Jacksonville, North Carolina
NPI 1083768816

William Harris is a Respite Care based in Jacksonville, NC. William Harris practices in Jacksonville, NC. The NPI Number for William Harris is 1083768816 and holds a License No. MHL-067-143 (North Carolina).

The current practice location address for William Harris is 104 Sterling Rd, Jacksonville, NC and can be reached out via phone at 910-554-1355.

Location: 104 Sterling Rd, Jacksonville, NC, 28546-8330
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083768816
Provider Name
William Harris
Credential
Provider Entity Type
Individual
Gender
Male
Address
104 Sterling Rd, Jacksonville, NC, 28546-8330
Phone Number
910-554-1355
Fax Number
Provider Enumeration Date
01/22/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3409469 05 NC
institution
Provider Business Practice Location Address Details
Address
104 Sterling Rd
City
Jacksonville
State
North Carolina
Zip
28546-8330
Phone Number
910-554-1355
Fax Number
person
Provider Business Mailing Address Details
Address
104 Sterling Rd
City
Jacksonville
State
North Carolina
Zip
28546-8330
Phone Number
910-554-1355
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
MHL-067-143 (North Carolina)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
MHL-067-143 (North Carolina)
Definition
Definition to come.
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