institution
Harris Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, North Carolina
NPI 1790981728

Harris Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Jacksonville, NC. Harris Home practices in Jacksonville, NC. The NPI Number for Harris Home is 1790981728 and holds a License No. MHL-067-143 (North Carolina).

The current practice location address for Harris Home is 536 Shadowridge Rd, Jacksonville, NC and can be reached out via phone at 910-353-9747.

Location: 536 Shadowridge Rd, Jacksonville, NC, 28546-8330
institution
Provider Profile Details
NPI Number
1790981728
Provider Name
Harris Home
Credential
Provider Entity Type
Organization
Address
536 Shadowridge Rd, Jacksonville, NC, 28546-8330
Phone Number
910-353-9747
Fax Number
Provider Enumeration Date
06/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3409469 05 NC
institution
Provider Business Practice Location Address Details
Address
536 Shadowridge Rd
City
State
Zip
28546-7876
Phone Number
910-353-9747
Fax Number
person
Provider Business Mailing Address Details
Address
536 Shadowridge Rd
City
State
Zip
28546-7876
Phone Number
910-353-9747
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
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.
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