Provider Demographics
NPI:1235111626
Name:HARRIS MANAGEMENT INC
Entity Type:Organization
Organization Name:HARRIS MANAGEMENT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:J
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-253-6536
Mailing Address - Street 1:430 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:MARKSVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:71351-2426
Mailing Address - Country:US
Mailing Address - Phone:318-253-6536
Mailing Address - Fax:318-253-8171
Practice Address - Street 1:430 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MARKSVILLE
Practice Address - State:LA
Practice Address - Zip Code:71351-2426
Practice Address - Country:US
Practice Address - Phone:318-253-6536
Practice Address - Fax:318-253-8171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-19
Last Update Date:2007-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1667358Medicaid
LA1014800001Medicare ID - Type Unspecified