Jennifer Harris
Individual provider Active NPI Home Health Aide · Morley, MI
NPI 1417328147 · NPPES record last updated Oct 7, 2015
Key facts
- NPI
- 1417328147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Home Health Aide 374U00000X
- Practice address
- 2206 130TH Ave
Morley, MI 49336-9712 - Phone
- (231) 445-6800
- NPI assigned
- Oct 7, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Yes |
Addresses
Primary practice location
2206 130TH Ave
Morley, MI 49336-9712
Mailing address
2206 130TH Ave
Morley, MI 49336-9712
Phone (231) 445-6800
Other providers in Morley, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.