Provider Demographics
NPI:1275097487
Name:HARMONY FAMILY CENTER LLC
Entity Type:Organization
Organization Name:HARMONY FAMILY CENTER LLC
Other - Org Name:HARMONY HEALTH FAMILY PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTORATE NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FLESZAR
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:231-887-4129
Mailing Address - Street 1:50 FILER ST STE 324
Mailing Address - Street 2:
Mailing Address - City:MANISTEE
Mailing Address - State:MI
Mailing Address - Zip Code:49660-2727
Mailing Address - Country:US
Mailing Address - Phone:231-299-7754
Mailing Address - Fax:231-887-4324
Practice Address - Street 1:50 FILER ST STE 324
Practice Address - Street 2:
Practice Address - City:MANISTEE
Practice Address - State:MI
Practice Address - Zip Code:49660-2727
Practice Address - Country:US
Practice Address - Phone:231-887-4129
Practice Address - Fax:231-887-4324
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-22
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1326361619Medicaid