MEDICARE: HARMONY GARDENS

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	310400000X	Assisted Living Facility

General Provider Information

NPI Number	:	1558113498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY GARDENS

Provider Business Mailing Address
First Line	:	22375 N 67TH DR
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85310-5235
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6301 W EARLL DR
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85033-5717
Country	:	US
Telephone Number	:	623-745-6635
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	OTILIA MURESAN
Credential	:
Telephone Number	:	623-745-6635

Provider Enumeration Date	:	04/03/2024
Last Update Date	:	04/03/2024

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Directions to “HARMONY GARDENS ” Practice Location

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