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Search › Pennsylvania › 235Z00000X

Avery Harris

NPI 1063823284 · on the registry since 2014 · sole proprietor

Practice

Address
2990 Holme Ave
Immaculate Mary Home
Philadelphia, PA 19136
Phone
(215) 992-1860
Organisation at this address
Immaculate Mary Home
Immaculate Mary Home
2990 Holme Operating, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
23

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
PA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-05-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania