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General NPI Number Information
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NPI Number | 1023863842
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Entity Type | Organization
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Legal Business Name | HARMONY HAVEN HOSPICE AND PALLIATIVE CARE
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Dates
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Enumeration Date | 04/23/2024
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 4405 MALL BLVD STE 130
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City | UNION CITY
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State | GA
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Zip | 30291-2055
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Country | US
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Telephone | 404-539-2527
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Fax |
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Provider Business Mailing Address
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Address Line | 4405 MALL BLVD STE 130
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City | UNION CITY
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State | GA
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Zip | 30291-2055
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Country | US
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Telephone | 404-539-2527
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | SIMONE JOHNSON
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Credential |
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Telephone | 404-769-2991
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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