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General NPI Number Information
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NPI Number | 1922832047
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Entity Type | Organization
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Legal Business Name | HARMONY RESIDENTIAL CARE IDAHO
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Dates
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Enumeration Date | 08/30/2024
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 4210 N ALESTER AVE
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City | MERIDIAN
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State | ID
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Zip | 83646-6863
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Country | US
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Telephone | 325-268-1596
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Fax |
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Provider Business Mailing Address
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Address Line | 800 4TH AVE # 2024
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City | GRINNELL
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State | IA
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Zip | 50112-2041
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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 | CHAIRMAN
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Name | KOFI FORSON
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Credential |
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Telephone | 325-268-1596
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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