Healthcare Provider Details
I. General information
NPI: 1487570115
Provider Name (Legal Business Name): HARMONY HOUSE RECOVERY LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/26/2026
Last Update Date: 06/26/2026
Certification Date: 06/26/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4363 MONTE VERDE AVE
POMONA CA
91766-4626
US
IV. Provider business mailing address
4363 MONTE VERDE AVE
POMONA CA
91766-4626
US
V. Phone/Fax
- Phone: 424-205-0595
- Fax:
- Phone: 424-205-0595
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 172A00000X |
| Taxonomy | Driver |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TOBIAS
STROMAN
Title or Position: CEO
Credential:
Phone: 909-301-9700