Provider Demographics
NPI:1598535908
Name:HARMONY HAVEN HOMES
Entity Type:Organization
Organization Name:HARMONY HAVEN HOMES
Other - Org Name:HARMONY HAVEN HOMES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TEEDI
Authorized Official - Middle Name:
Authorized Official - Last Name:PHILLIPS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-654-9181
Mailing Address - Street 1:3224 SWEETBRIAR RD SW
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35603-3168
Mailing Address - Country:US
Mailing Address - Phone:256-654-9181
Mailing Address - Fax:
Practice Address - Street 1:3224 SWEETBRIAR RD SW
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35603-3168
Practice Address - Country:US
Practice Address - Phone:256-654-9181
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-05
Last Update Date:2024-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental DisabilitiesGroup - Single Specialty