Provider Demographics
NPI:1922746932
Name:HARMONY OAKS RECOVERY CENTER, LLC
Entity type:Organization
Organization Name:HARMONY OAKS RECOVERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:FARACHE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-744-3696
Mailing Address - Street 1:PO BOX 836
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33402-0836
Mailing Address - Country:US
Mailing Address - Phone:423-708-4961
Mailing Address - Fax:561-515-3284
Practice Address - Street 1:1558 PINNACLES WAY
Practice Address - Street 2:
Practice Address - City:NEWPORT
Practice Address - State:TN
Practice Address - Zip Code:37821-7308
Practice Address - Country:US
Practice Address - Phone:423-708-4961
Practice Address - Fax:561-515-3284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-20
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility