Provider Demographics
NPI:1245191246
Name:HARRIS, TREASURE
Entity type:Individual
Prefix:
First Name:TREASURE
Middle Name:
Last Name:HARRIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6785 MARVIN AVE
Mailing Address - Street 2:
Mailing Address - City:N COLLEGE HL
Mailing Address - State:OH
Mailing Address - Zip Code:45224-1141
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6785 MARVIN AVE
Practice Address - Street 2:
Practice Address - City:N COLLEGE HL
Practice Address - State:OH
Practice Address - Zip Code:45224-1141
Practice Address - Country:US
Practice Address - Phone:283-212-6830
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-19
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide