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Mr. Willie Esau Harris, LVN
Assisted Living Facility in Lancaster, California
NPI 1962661330

Willie Esau Harris is an Assisted Living Facility based in Lancaster, CA. Willie Esau Harris practices in Lancaster, CA and has the professional credentials of LVN. The NPI Number for Willie Esau Harris is 1962661330 and holds a License No. (California).

The current practice location address for Willie Esau Harris is 6248 W Avenue J11, Lancaster, CA and can be reached out via phone at 666-943-0021 and via fax at 661-943-9877.

Location: 6248 W Avenue J11, Lancaster, CA, 93536-1716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962661330
Provider Name
Willie Esau Harris
Credential
LVN
Provider Entity Type
Individual
Gender
Male
Address
6248 W Avenue J11, Lancaster, CA, 93536-1716
Phone Number
666-943-0021
Fax Number
661-943-9877
Provider Enumeration Date
06/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6248 W Avenue J11
City
Lancaster
State
California
Zip
93536-1716
Phone Number
666-943-0021
Fax Number
661-943-9877
person
Provider Business Mailing Address Details
Address
6248 W Avenue J11
City
Lancaster
State
California
Zip
93536-1716
Phone Number
666-943-0021
Fax Number
661-943-9877
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
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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