Doctor Name: | BRANDY NICOLE HARRISON |
NPI Number: | 1003131152 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | COTA/L |
License Number: | 2819 |
Business Practice Address: | 850 E Butler Rd Greenville, SC - 296075842 |
Business Phone Number: | 8646756421 |
Business Fax Number: | |
Mailing Address: | 38 Endeavor Cir, MAULDIN |
State: | SC |
Postal Code: | 296622451 |
Phone Number: | 8649405197 |
Fax Number: | |
NPI Enumeration Date: | 04/01/2010 |
NPI Last Update Date: | 03/17/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 2819 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |