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General NPI Number Information
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NPI Number | 1740071828
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Entity Type | Organization
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Legal Business Name | HARMONY HOUSE DAY PROGRAM
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Dates
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Enumeration Date | 05/16/2025
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 1303 PARKER RD SE STE A
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City | CONYERS
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State | GA
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Zip | 30094-5984
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Country | US
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Telephone | 470-708-4678
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1197
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City | LITHONIA
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State | GA
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Zip | 30058-1043
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Country | US
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Telephone | 470-708-4678
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINA CALLAHAN
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Credential |
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Telephone | 404-553-1763
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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