TRACY L. HARRIS NPI 1073546081

NPI Information

TRACY L. HARRIS is a hospice care community based in San Diego, CA. TRACY L. HARRIS NPI is 1073546081. The provider is registered as an organization entity type.
The provider Is Doing Business As Avalon Hospice & Palliative Care.

The provider's business location address is:

3914 MURPHY CANYON RD
SUITE # A226
SAN DIEGO, CA
ZIP 92123-491
Phone: (858) 751-0315
Fax: (858) 560-0435

The provider's authorized official is Tracy Lynn Harris .
The authorized official title is Administrator/ceo and has the following contact phone number (858) 751-0315.

The CLIA number assigned to this NPI record is 05D1048350 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/10/2006 and was last updated on 6/17/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.