Healthcare Provider Details
I. General information
NPI: 1104781509
Provider Name (Legal Business Name): HARCO HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/17/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1977 ESTHER CT
FOREST HILL MD
21050-1607
US
IV. Provider business mailing address
1977 ESTHER CT
FOREST HILL MD
21050-1607
US
V. Phone/Fax
- Phone: 443-987-0693
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 133V00000X |
| Taxonomy | Registered Dietitian |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MICHELLE
LYN
WRIGHT
Title or Position: REGISTERED DIETITIAN
Credential: RD
Phone: 443-987-0693