MEDICARE: HARMONY CHARLOTTE, PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1598519126
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY CHARLOTTE, PLLC

Provider Business Mailing Address
First Line	:	10221 MISTY MOSS CT
Second Line	:
City	:	MINT HILL
State	:	NC
Zip	:	28227-8121
Country	:	US
Telephone Number	:	704-251-0444
Fax Number	:

Provider Business Practice Location Address
First Line	:	10221 MISTY MOSS CT
Second Line	:
City	:	MINT HILL
State	:	NC
Zip	:	28227-8121
Country	:	US
Telephone Number	:	704-251-0444
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	VIRGINIA C INGRAM
Credential	:	MS, CCC-SLP
Telephone Number	:	704-251-0444

Provider Enumeration Date	:	04/11/2024
Last Update Date	:	04/23/2024

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