IndividualActive
Fallon Harris
NPI 1215804463 · Pediatric Skilled Nursing Facility · Grand Rapids, MI
Provider details
- NPI number
- 1215804463
- Entity type
- Individual
- Primary specialty
- Pediatric Skilled Nursing FacilityNursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
280 Ann St Nw Ste 200
Grand Rapids, MI 49504-2016
Phone: (448) 488-2912
Approximate (ZIP-level) locationGet directions
Mailing address
201 Perdue Rd
Quitman, GA 31643-3651
Registry dates
- Enumerated
- 2025-10-22
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.