NPI 1366590572

Harris Southeast Care Home

Organisation Adult Care Home Facility West Memphis, AR

Practice location

Address: 534 S 16th St, West Memphis, AR 72301-5631
Phone: (870) 732-1200
Fax: (870) 733-9153

Authorised official

Name: Helen Jean Harris
Title: Administrator
Phone: (870) 732-1200

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 345 (AR)

Other Custodial Care Facility providers in Arkansas →

Registry record

NPI: 1366590572
Entity type: Organization
NPI issued: 7 Jan 2007
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.