Provider Demographics
NPI:1285291583
Name:HARBOR HOME CARE CO.
Entity type:Organization
Organization Name:HARBOR HOME CARE CO.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRISON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:860-339-5299
Mailing Address - Street 1:49 SHERWOOD TER
Mailing Address - Street 2:
Mailing Address - City:OLD SAYBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06475-2144
Mailing Address - Country:US
Mailing Address - Phone:860-339-5299
Mailing Address - Fax:
Practice Address - Street 1:49 SHERWOOD TER
Practice Address - Street 2:
Practice Address - City:OLD SAYBROOK
Practice Address - State:CT
Practice Address - Zip Code:06475-2144
Practice Address - Country:US
Practice Address - Phone:860-339-5299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-22
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care