Provider Demographics
NPI:1023863842
Name:HARMONY HAVEN HOSPICE AND PALLIATIVE CARE
Entity type:Organization
Organization Name:HARMONY HAVEN HOSPICE AND PALLIATIVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SIMONE
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-769-2991
Mailing Address - Street 1:4880 HIGHLAND LAKE DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30349-3913
Mailing Address - Country:US
Mailing Address - Phone:404-769-2991
Mailing Address - Fax:
Practice Address - Street 1:4880 HIGHLAND LAKE DR
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30349-3913
Practice Address - Country:US
Practice Address - Phone:404-769-2991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-23
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based