Provider Demographics
NPI:1366842072
Name:COLEMAN, HARRIETT D (LPN DIRECTOR)
Entity Type:Individual
Prefix:MRS
First Name:HARRIETT
Middle Name:D
Last Name:COLEMAN
Suffix:
Gender:F
Credentials:LPN DIRECTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 CHESIRE DR. WEST
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36605
Mailing Address - Country:US
Mailing Address - Phone:251-656-1358
Mailing Address - Fax:251-476-5894
Practice Address - Street 1:1615 CHESIRE DR. WEST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36605
Practice Address - Country:US
Practice Address - Phone:251-656-1358
Practice Address - Fax:251-476-5894
Is Sole Proprietor?:No
Enumeration Date:2014-08-29
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL086343372600000X, 376J00000X, 376K00000X
AL08643374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No372600000XNursing Service Related ProvidersAdult Companion
No374U00000XNursing Service Related ProvidersHome Health Aide
No376K00000XNursing Service Related ProvidersNurse's Aide