person
Mr. Tracy L. Harris
Community Based Hospice Care Agency in San Diego, California
NPI 1154670404

Tracy L. Harris is a Community Based Hospice Care Agency based in San Diego, CA. Tracy L. Harris practices in San Diego, CA. The NPI Number for Tracy L. Harris is 1154670404 and holds a License No. 550000104 (California).

The current practice location address for Tracy L. Harris is 3914 Murphy Canyon Rd, San Diego, CA and can be reached out via phone at 858-751-0315. You can also correspond with Tracy L. Harris through the mailing address at 3914 MURPHY CANYON RD, SAN DIEGO, CA - 92123-4491 (mailing address contact number: 858-751-0315).

Location: 3914 Murphy Canyon Rd, San Diego, CA, 92123-4491
person
Provider Profile Details
NPI Number
1154670404
Provider Name
Tracy L. Harris
Credential
Provider Entity Type
Individual
Gender
Male
Address
3914 Murphy Canyon Rd, San Diego, CA, 92123-4491
Phone Number
858-751-0315
Fax Number
Provider Enumeration Date
08/31/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
550000104 01 CA DBA - AVALON HOSPICE & PALLIATIVE CARE
HPC01791F 05 CA
institution
Provider Business Practice Location Address Details
Address
3914 Murphy Canyon Rd
City
State
Zip
92123-4491
Phone Number
858-751-0315
Fax Number
person
Provider Business Mailing Address Details
Address
3914 Murphy Canyon Rd
City
State
Zip
92123-4491
Phone Number
858-751-0315
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Hospice Care, Community Based
Speciality
-
Taxonomy
License No.
550000104 (California)
Definition
Definition to come...
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