Provider Demographics
NPI:1316357767
Name:HARMONY ADULT CARE CENTER LLC.
Entity Type:Organization
Organization Name:HARMONY ADULT CARE CENTER LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:AIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:VIILAR
Authorized Official - Suffix:
Authorized Official - Credentials:PCA
Authorized Official - Phone:352-431-1017
Mailing Address - Street 1:1172 S GRAND HWY
Mailing Address - Street 2:
Mailing Address - City:CLERMONT
Mailing Address - State:FL
Mailing Address - Zip Code:34711-3203
Mailing Address - Country:US
Mailing Address - Phone:352-431-1017
Mailing Address - Fax:
Practice Address - Street 1:1172 S GRAND HWY
Practice Address - Street 2:
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-3203
Practice Address - Country:US
Practice Address - Phone:352-431-1017
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-06
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9276261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care