Healthcare Provider Details
I. General information
NPI: 1215132329
Provider Name (Legal Business Name): HARMAN HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/19/2007
Last Update Date: 03/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8204 ELMBROOK DR SUITE 190
DALLAS TX
75247-4067
US
IV. Provider business mailing address
8204 ELMBROOK DR SUITE 190
DALLAS TX
75247-4067
US
V. Phone/Fax
- Phone: 214-879-0803
- Fax: 214-879-0828
- Phone: 214-879-0803
- Fax: 214-879-0828
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 251E00000X |
| Taxonomy | Home Health Agency |
| License Number | 011612 |
| License Number State | TX |
VIII. Authorized Official
Name: MR.
GERALD
D
HARMAN
Title or Position: PRESIDENT
Credential:
Phone: 214-879-0803