Healthcare Provider Details

I. General information

NPI: 1871404012
Provider Name (Legal Business Name): HARRIS TRANSPORT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

556 RIVER AVE
SOUTH BEND IN
46601-3236
US

IV. Provider business mailing address

556 RIVER AVE
SOUTH BEND IN
46601-3236
US

V. Phone/Fax

Practice location:
  • Phone: 574-666-4320
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number State

VIII. Authorized Official

Name: DION HARRIS
Title or Position: OWNER
Credential:
Phone: 574-666-4320