Provider Demographics
NPI:1902567308
Name:HARRIETS HOUSE
Entity Type:Organization
Organization Name:HARRIETS HOUSE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MAKIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MANOKEY-ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, CCM
Authorized Official - Phone:410-901-7074
Mailing Address - Street 1:698 SE 5TH ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:DE
Mailing Address - Zip Code:19963-2025
Mailing Address - Country:US
Mailing Address - Phone:410-901-7074
Mailing Address - Fax:
Practice Address - Street 1:698 SE 5TH ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:DE
Practice Address - Zip Code:19963-2025
Practice Address - Country:US
Practice Address - Phone:410-901-7074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-07
Last Update Date:2022-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty