Healthcare Provider Details

I. General information

NPI: 1063717189
Provider Name (Legal Business Name): HEALTHCARE HARMONY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2011
Last Update Date: 02/24/2020
Certification Date: 02/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11406 E FAIRVIEW AVE
SPOKANE VALLEY WA
99206-4687
US

IV. Provider business mailing address

15911 E COOPER RD
MEAD WA
99021-8781
US

V. Phone/Fax

Practice location:
  • Phone: 509-640-6804
  • Fax:
Mailing address:
  • Phone: 509-477-9874
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: R ELAINE BOGDEN
Title or Position: CLINICAL DIRECTOR
Credential: RN
Phone: 509-477-9874