Provider Demographics
NPI:1912500885
Name:HARPER, DAVID L JR (PERSONAL CARE AIDE)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:L
Last Name:HARPER
Suffix:JR
Gender:M
Credentials:PERSONAL CARE AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1302 RAMBLEWOOD TRL
Mailing Address - Street 2:
Mailing Address - City:SOUTH EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44121-4078
Mailing Address - Country:US
Mailing Address - Phone:216-322-8443
Mailing Address - Fax:
Practice Address - Street 1:1302 RAMBLEWOOD TRL
Practice Address - Street 2:
Practice Address - City:SOUTH EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44121-4078
Practice Address - Country:US
Practice Address - Phone:216-322-8443
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-20
Last Update Date:2022-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty