Doctor Name: | SHANNON HARWELL |
NPI Number: | 1235528316 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1301 Belk Blvd Oxford, MS - 386555301 |
Business Phone Number: | 6622347821 |
Business Fax Number: | 6622345113 |
Mailing Address: | 1301 Belk Blvd, OXFORD |
State: | MS |
Postal Code: | 386555301 |
Phone Number: | 6622347821 |
Fax Number: | 6622345113 |
NPI Enumeration Date: | 01/13/2015 |
NPI Last Update Date: | 01/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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. |