MEDICARE: HARMONYS HOUSE HOME HELP AGENCY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1093337180
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONYS HOUSE HOME HELP AGENCY, INC

Provider Business Mailing Address
First Line	:	17696 MONTAGE
Second Line	:
City	:	CLINTON TWP
State	:	MI
Zip	:	48038-3807
Country	:	US
Telephone Number	:	586-359-3800
Fax Number	:	586-477-4687

Provider Business Practice Location Address
First Line	:	17696 MONTAGE
Second Line	:
City	:	CLINTON TWP
State	:	MI
Zip	:	48038-3807
Country	:	US
Telephone Number	:	586-359-3800
Fax Number	:	586-477-4687

Authorized Official
Title or Position	:	OWNER
Name	:	RENEE BUTLER
Credential	:
Telephone Number	:	586-359-3800

Provider Enumeration Date	:	05/11/2020
Last Update Date	:	05/11/2020

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