Provider Demographics
NPI:1144415985
Name:HARMONY FAMILY HOME CORP
Entity Type:Organization
Organization Name:HARMONY FAMILY HOME CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IDALBERTO
Authorized Official - Middle Name:E
Authorized Official - Last Name:GALLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-274-0144
Mailing Address - Street 1:9245 S.W. 208 TERR.
Mailing Address - Street 2:
Mailing Address - City:CUTLER BAY
Mailing Address - State:FL
Mailing Address - Zip Code:33189-3854
Mailing Address - Country:US
Mailing Address - Phone:786-732-6685
Mailing Address - Fax:855-299-0714
Practice Address - Street 1:9245 S.W. 208 TERR.
Practice Address - Street 2:
Practice Address - City:CUTLER BAY
Practice Address - State:FL
Practice Address - Zip Code:33189-3854
Practice Address - Country:US
Practice Address - Phone:786-732-6685
Practice Address - Fax:855-299-0714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-13
Last Update Date:2019-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLD552-620-48-212-0310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility