Provider Demographics
NPI:1831339340
Name:PEACE AND HARMONY, INC.
Entity type:Organization
Organization Name:PEACE AND HARMONY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LUYLLA
Authorized Official - Middle Name:JO
Authorized Official - Last Name:CLAAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:406-644-2915
Mailing Address - Street 1:PO BOX 339
Mailing Address - Street 2:
Mailing Address - City:RONAN
Mailing Address - State:MT
Mailing Address - Zip Code:59864-0339
Mailing Address - Country:US
Mailing Address - Phone:406-644-2915
Mailing Address - Fax:406-644-2915
Practice Address - Street 1:51093 HILLSIDE RD
Practice Address - Street 2:
Practice Address - City:CHARLO
Practice Address - State:MT
Practice Address - Zip Code:59824-9778
Practice Address - Country:US
Practice Address - Phone:406-644-2915
Practice Address - Fax:406-644-2915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-23
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT09-14-20300305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization