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General NPI Number Information
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NPI Number | 1003600917
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Entity Type | Organization
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Legal Business Name | SWEET HARMONY HOUSE LLC
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 804 YORK ST
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City | ROCKY MOUNT
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State | NC
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Zip | 27803-2542
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Country | US
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Telephone | 919-264-8897
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Fax |
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Provider Business Mailing Address
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Address Line | 3719 LANDSHIRE VIEW LN
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City | RALEIGH
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State | NC
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Zip | 27616-8890
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAISHA EVANS
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Credential |
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Telephone | 919-264-8897
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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License Number |
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License Number State |
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