Provider Demographics
NPI:1972227262
Name:HARRIS, HAYLEE ROZE
Entity type:Individual
Prefix:
First Name:HAYLEE
Middle Name:ROZE
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 1:22770 EISENHOWER RD
Mailing Address - Street 2:
Mailing Address - City:NEWAYGO
Mailing Address - State:MI
Mailing Address - Zip Code:49337-9641
Mailing Address - Country:US
Mailing Address - Phone:231-856-3245
Mailing Address - Fax:
Practice Address - Street 1:22770 EISENHOWER RD
Practice Address - Street 2:
Practice Address - City:NEWAYGO
Practice Address - State:MI
Practice Address - Zip Code:49337-9641
Practice Address - Country:US
Practice Address - Phone:231-856-3245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-29
Last Update Date:2022-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health