Harris, Mildred
Harris, Mildred is an sole proprietor health care provider with primary practice located at 834 Hwy 101 , Beaufort NC 28516-7717. She recently has only one registered license in Nursing & Custodial Care Facilities / Adult Care Home, which is considered as her primary health care specialty. Harris, Mildred can be contacted via phone (252) 728-6525.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | FCL016-013 | North Carolina |
Profile Details
| NPI number | 1366635120 |
|---|---|
| LBN Legal business name | Harris, Mildred |
| Credentials | ADMINISTRATOR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2007 |
| Last updated | Jun 23rd, 2008 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1366635120 | NPPES |
| North Carolina | MEDICAID | 7803990 |
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