person
Maxine Delores Harris
Assisted Living Facility in Arcola, Mississippi
NPI 1417508110

Maxine Delores Harris is an Assisted Living Facility based in Arcola, MS. Maxine Delores Harris practices in Arcola, MS. The NPI Number for Maxine Delores Harris is 1417508110 and holds a License No. 1043 (Mississippi).

The current practice location address for Maxine Delores Harris is 104 Martin Luther King Blvd, Arcola, MS and can be reached out via phone at 662-827-7500 and via fax at 662-827-7347.

Location: 104 Martin Luther King Blvd, Arcola, MS, 38722-0383
person
Provider Profile Details
NPI Number
1417508110
Provider Name
Maxine Delores Harris
Credential
Provider Entity Type
Individual
Gender
Female
Address
104 Martin Luther King Blvd, Arcola, MS, 38722-0383
Phone Number
662-827-7500
Fax Number
662-827-7347
Provider Enumeration Date
09/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
104 Martin Luther King Blvd
City
State
Zip
38722
Phone Number
662-827-7500
Fax Number
662-827-7347
person
Provider Business Mailing Address Details
Address
104 Martin Luther King Blvd
City
State
Zip
38722
Phone Number
662-827-7500
Fax Number
662-827-7347
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
1043 (Mississippi)
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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