Provider Demographics
NPI:1437631447
Name:HARMONY ADULT DAY CARE SERVICE LLC
Entity Type:Organization
Organization Name:HARMONY ADULT DAY CARE SERVICE LLC
Other - Org Name:HARMONY ADULT DAY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALI
Authorized Official - Middle Name:ADAM
Authorized Official - Last Name:HASSAN
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:612-707-5737
Mailing Address - Street 1:8503 JEFFERSON LN N STE B
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55445-2115
Mailing Address - Country:US
Mailing Address - Phone:763-898-3525
Mailing Address - Fax:
Practice Address - Street 1:8503 JEFFERSON LN N STE B
Practice Address - Street 2:
Practice Address - City:BROOKLYN PARK
Practice Address - State:MN
Practice Address - Zip Code:55445-2115
Practice Address - Country:US
Practice Address - Phone:763-898-3525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-05
Last Update Date:2018-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1092924261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care