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Marlene Renita Harrison
Adult Care Home Facility in Reidsville, North Carolina
NPI 1619510237

Marlene Renita Harrison is an Adult Care Home Facility based in Reidsville, NC and is specialized in Adult Care Home. Marlene Renita Harrison practices in Reidsville, NC. The NPI Number for Marlene Renita Harrison is 1619510237 and holds a License No. FCL-079-113 (North Carolina).

The current practice location address for Marlene Renita Harrison is 814 Lindsey St, Reidsville, NC and can be reached out via phone at 336-280-1358 and via fax at 336-347-0248. You can also correspond with Marlene Renita Harrison through the mailing address at 814 LINDSEY ST, REIDSVILLE, NC - 27320-3112 (mailing address contact number: 336-280-1358).

Location: 814 Lindsey St, Reidsville, NC, 27320-3112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619510237
Provider Name
Marlene Renita Harrison
Credential
Provider Entity Type
Individual
Gender
Female
Address
814 Lindsey St, Reidsville, NC, 27320-3112
Phone Number
336-280-1358
Fax Number
336-347-0248
Provider Enumeration Date
10/27/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
814 Lindsey St
City
Reidsville
State
North Carolina
Zip
27320-3112
Phone Number
336-280-1358
Fax Number
336-347-0248
person
Provider Business Mailing Address Details
Address
814 Lindsey St
City
Reidsville
State
North Carolina
Zip
27320-3112
Phone Number
336-280-1358
Fax Number
336-347-0248
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
FCL-079-113 (North Carolina)
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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