Provider Demographics
NPI:1851831960
Name:THE HARBOR HOUSE
Entity Type:Organization
Organization Name:THE HARBOR HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:TAPSCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:252252-209-1983
Mailing Address - Street 1:700 TERRACE LN
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:NC
Mailing Address - Zip Code:27820-9645
Mailing Address - Country:US
Mailing Address - Phone:252-358-0567
Mailing Address - Fax:
Practice Address - Street 1:700 TERRACE LN
Practice Address - Street 2:
Practice Address - City:CONWAY
Practice Address - State:NC
Practice Address - Zip Code:27820-9645
Practice Address - Country:US
Practice Address - Phone:252-358-0567
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-08
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home