Healthcare Provider Details

I. General information

NPI: 1861824070
Provider Name (Legal Business Name): THE HARMONY PLACE ADULT DAYCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2013
Last Update Date: 04/14/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 TRADEWIND DR
MESQUITE TX
75150-3308
US

IV. Provider business mailing address

2115 TRADEWIND DR
MESQUITE TX
75150-3308
US

V. Phone/Fax

Practice location:
  • Phone: 972-698-9900
  • Fax: 972-698-0665
Mailing address:
  • Phone: 972-670-0559
  • Fax: 972-698-0665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: SHAREL LETREESE SULLIVAN
Title or Position: OWNER
Credential: NONE
Phone: 972-698-9900