Healthcare Provider Details

I. General information

NPI: 1942416979
Provider Name (Legal Business Name): HARRIS COMMUNITY CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2007
Last Update Date: 02/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

709 W BURKE ST
MARTINSBURG WV
25401-2709
US

IV. Provider business mailing address

709 W BURKE ST
MARTINSBURG WV
25401-2709
US

V. Phone/Fax

Practice location:
  • Phone: 304-263-7764
  • Fax: 304-263-7330
Mailing address:
  • Phone: 304-263-7764
  • Fax: 304-263-7330

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: HELEN HARRIS
Title or Position: PRESIDENT
Credential:
Phone: 304-263-7764