Provider Demographics
NPI:1538298708
Name:HARRISON HOMES, INC.
Entity Type:Organization
Organization Name:HARRISON HOMES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:RADONA
Authorized Official - Middle Name:M
Authorized Official - Last Name:SAMPLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-243-4817
Mailing Address - Street 1:404 BOSTON PL
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43610-1437
Mailing Address - Country:US
Mailing Address - Phone:419-243-4817
Mailing Address - Fax:419-243-4817
Practice Address - Street 1:409 BOSTON PL
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43610-1438
Practice Address - Country:US
Practice Address - Phone:419-944-0464
Practice Address - Fax:419-243-4817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4802986251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health