SHERYL LEVETTE HARRIS NPI 1710027883

NPI Information

NPI: 1710027883
Provider Name: SHERYL LEVETTE HARRIS
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Individual
Address:
140 CARROLLWOOD DR
FAYETTEVILLE, GA
ZIP 30215
Phone: (770) 716-7990
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Sheryl Levette Harris is a community based residential treatment facility, intellectual and/or developmental disabilities in Fayetteville, GA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. Sheryl Levette Harris NPI is 1710027883. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

140 CARROLLWOOD DR
FAYETTEVILLE, GA
ZIP 30215-445
Phone: (770) 716-7990
Fax: (770) 716-7955

The enumeration date for this NPI number is 2/7/2007 and was last updated on 6/21/2016.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities				Yes

Other Identifiers

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

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000977501E	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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