Maxine Delores Harris
NPI #1417508110 in Arcola, Mississippi
Provider Information
- NPI Number
- 1417508110
- Entity Type
- Individual
- Name
- Maxine Delores Harris
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Sep 24, 2019
- Last Updated
- Sep 24, 2019
Practice Location
- Address
- 104 MARTIN LUTHER KING BLVD
- City
- Arcola
- State
- Mississippi
- ZIP Code
- 38722
- Phone
- (662) 827-7500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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| Destiny Manor | |
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