Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maxine Delores Harris

Individual provider Assisted Living Facility · NPI 1417508110

Maxine Delores Harris is an Assisted Living Facility in Arcola, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2019
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Practice location Address checks out

104 Martin Luther King Blvd
Arcola, MS 38722
Phone: (662) 827-7500
Fax: (662) 827-7347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Assisted Living Facility (primary) Taxonomy 310400000X · Licence 1043 (MS)

Record details

NPI number1417508110
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 24, 2019
Last updated in NPPESSeptember 24, 2019

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