Provider Demographics
NPI:1841771920
Name:HARMONY HEALTH AND WELLNESS FOUNDATION
Entity Type:Organization
Organization Name:HARMONY HEALTH AND WELLNESS FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DEPORZIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-206-9241
Mailing Address - Street 1:9242 W PROSPECTOR DR
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-7779
Mailing Address - Country:US
Mailing Address - Phone:480-206-9241
Mailing Address - Fax:
Practice Address - Street 1:5220 N DYSART RD BUILDING C
Practice Address - Street 2:
Practice Address - City:LITCHFIELD PARK
Practice Address - State:AZ
Practice Address - Zip Code:85340
Practice Address - Country:US
Practice Address - Phone:602-471-3597
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health