Provider Demographics
NPI:1710199351
Name:HARMONY LIFE HOSPICE, INC.
Entity Type:Organization
Organization Name:HARMONY LIFE HOSPICE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARY ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-798-5775
Mailing Address - Street 1:2529 EAST 70TH STREET
Mailing Address - Street 2:SUITE 306
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-4044
Mailing Address - Country:US
Mailing Address - Phone:318-798-5775
Mailing Address - Fax:318-798-5776
Practice Address - Street 1:2529 EAST 70TH STREET
Practice Address - Street 2:SUITE 306
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-4044
Practice Address - Country:US
Practice Address - Phone:318-798-5775
Practice Address - Fax:318-798-5776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-04
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAPPLIED FOR251G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based