MEDICARE: HARMONY LIVING HEALTH CARE SERVICES

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	313M00000X	Nursing Facility/Intermediate Care Facility	338078	MN

General Provider Information

NPI Number	:	1861672198
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY LIVING HEALTH CARE SERVICES

Provider Business Mailing Address
First Line	:	7509 COLFAX AVE N
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55444-2550
Country	:	US
Telephone Number	:	763-560-9756
Fax Number	:

Provider Business Practice Location Address
First Line	:	7509 COLFAX AVE N
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55444-2550
Country	:	US
Telephone Number	:	763-560-9756
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. ALEXANDER MARIGI ONGOU
Credential	:
Telephone Number	:	763-438-0345

Provider Enumeration Date	:	11/03/2007
Last Update Date	:	11/05/2007

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