Healthcare Provider Details

I. General information

NPI: 1780152850
Provider Name (Legal Business Name): HARMONY CARE CONCEPTS AND MANAGEMENT, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2018
Last Update Date: 11/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3704 LARKWOOD DR
OKLAHOMA CITY OK
73115-2824
US

IV. Provider business mailing address

PO BOX 30292
MIDWEST CITY OK
73140-3292
US

V. Phone/Fax

Practice location:
  • Phone: 405-476-5766
  • Fax:
Mailing address:
  • Phone: 405-476-5766
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: TAMARA WEBB
Title or Position: RN
Credential:
Phone: 405-476-5766