Provider Demographics
NPI:1881989499
Name:HARPER'S ADULT DAY CARE, LLC
Entity type:Organization
Organization Name:HARPER'S ADULT DAY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-678-6072
Mailing Address - Street 1:186 BOOTLEGGER LN E
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:GA
Mailing Address - Zip Code:30673-5364
Mailing Address - Country:US
Mailing Address - Phone:706-678-6072
Mailing Address - Fax:706-678-6071
Practice Address - Street 1:186 BOOTLEGGER LN E
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:GA
Practice Address - Zip Code:30673-5364
Practice Address - Country:US
Practice Address - Phone:706-678-6072
Practice Address - Fax:706-678-6071
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2011 000616261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care