Provider Demographics
NPI:1912778507
Name:HARMONY MEADOWS OF LEHIGH ACRES LLC
Entity Type:Organization
Organization Name:HARMONY MEADOWS OF LEHIGH ACRES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER OF THE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:WRIGHT
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-662-3414
Mailing Address - Street 1:711 CRESTLINE AVE S
Mailing Address - Street 2:
Mailing Address - City:LEHIGH ACRES
Mailing Address - State:FL
Mailing Address - Zip Code:33974-0723
Mailing Address - Country:US
Mailing Address - Phone:310-662-3414
Mailing Address - Fax:
Practice Address - Street 1:711 CRESTLINE AVE S
Practice Address - Street 2:
Practice Address - City:LEHIGH ACRES
Practice Address - State:FL
Practice Address - Zip Code:33974-0723
Practice Address - Country:US
Practice Address - Phone:310-662-3414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-11
Last Update Date:2024-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care