Healthcare Provider Details
I. General information
NPI: 1760068498
Provider Name (Legal Business Name): HARMONY SENIOR SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/23/2021
Last Update Date: 03/23/2021
Certification Date: 03/23/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
502 WOODED CROSSING CIR
SAINT AUGUSTINE FL
32084-6548
US
IV. Provider business mailing address
PO BOX 754
SAINT AUGUSTINE FL
32085-0754
US
V. Phone/Fax
- Phone: 904-429-5736
- Fax:
- Phone: 904-429-5736
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
TANYA
LEE
Title or Position: OWNER
Credential:
Phone: 904-429-5736