Healthcare Provider Details

I. General information

NPI: 1275097487
Provider Name (Legal Business Name): HARMONY FAMILY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2019
Last Update Date: 02/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 FILER ST STE 324
MANISTEE MI
49660-2727
US

IV. Provider business mailing address

50 FILER ST STE 324
MANISTEE MI
49660-2727
US

V. Phone/Fax

Practice location:
  • Phone: 231-887-4129
  • Fax: 231-887-4324
Mailing address:
  • Phone: 231-299-7754
  • Fax: 231-887-4324

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. MELISSA ANN FLESZAR
Title or Position: DOCTORATE NURSE PRACTITIONER
Credential: DNP
Phone: 231-887-4129