Healthcare Provider Details

I. General information

NPI: 1003635939
Provider Name (Legal Business Name): IN HOME HARMONY CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2024
Last Update Date: 10/08/2024
Certification Date: 10/08/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 9 1/2 ST NE
CHISHOLM MN
55719-1245
US

IV. Provider business mailing address

7 9 1/2 ST NE
CHISHOLM MN
55719-1245
US

V. Phone/Fax

Practice location:
  • Phone: 218-780-1740
  • Fax:
Mailing address:
  • Phone: 218-780-1740
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JULIE KAY LONG
Title or Position: OWNER
Credential:
Phone: 218-780-1740