Provider Demographics
NPI:1124188503
Name:DNA HARRISON ENTERPRISES
Entity Type:Organization
Organization Name:DNA HARRISON ENTERPRISES
Other - Org Name:COMFORT KEEPERS 556
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-569-1025
Mailing Address - Street 1:PO BOX 217
Mailing Address - Street 2:1445 S CATLIN ROAD
Mailing Address - City:ROCKVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47872-0217
Mailing Address - Country:US
Mailing Address - Phone:888-569-1025
Mailing Address - Fax:765-569-1040
Practice Address - Street 1:1445 S CATLIN RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:IN
Practice Address - Zip Code:47872-7301
Practice Address - Country:US
Practice Address - Phone:888-569-1025
Practice Address - Fax:765-569-1040
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health