Provider Demographics
NPI:1942821251
Name:HARBOR HEALTH PRIVATE CARE, INC
Entity Type:Organization
Organization Name:HARBOR HEALTH PRIVATE CARE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LOUANN
Authorized Official - Middle Name:
Authorized Official - Last Name:JOBBITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-765-7144
Mailing Address - Street 1:1100 DEGURSE AVE
Mailing Address - Street 2:
Mailing Address - City:MARINE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:48039-3807
Mailing Address - Country:US
Mailing Address - Phone:810-765-7144
Mailing Address - Fax:
Practice Address - Street 1:1100 DEGURSE AVE
Practice Address - Street 2:
Practice Address - City:MARINE CITY
Practice Address - State:MI
Practice Address - Zip Code:48039-3807
Practice Address - Country:US
Practice Address - Phone:810-765-7144
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-28
Last Update Date:2020-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care