MEDICARE: HARRIS & WILLIAMS INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	LPN12682	NV

General Provider Information

NPI Number	:	1255621082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARRIS & WILLIAMS INC.

Provider Business Mailing Address
First Line	:	6908 AUKLET LN
Second Line	:
City	:	N LAS VEGAS
State	:	NV
Zip	:	89084-2654
Country	:	US
Telephone Number	:	702-562-1287
Fax Number	:	702-562-1286

Provider Business Practice Location Address
First Line	:	7473 W LAKE MEAD BLVD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0265
Country	:	US
Telephone Number	:	702-562-1287
Fax Number	:	702-562-1286

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MRS. ROSA LANDRY
Credential	:	LPN
Telephone Number	:	702-562-1287

Provider Enumeration Date	:	04/13/2011
Last Update Date	:	04/13/2011

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