Provider Demographics
NPI:1952565061
Name:GRAHAM HARMONY HOUSE INC
Entity Type:Organization
Organization Name:GRAHAM HARMONY HOUSE INC
Other - Org Name:HARMONY HOUSE INFUSION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:GARY
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-549-2223
Mailing Address - Street 1:1309 BRAZOS ST
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:TX
Mailing Address - Zip Code:76450-4020
Mailing Address - Country:US
Mailing Address - Phone:940-549-2223
Mailing Address - Fax:940-549-5411
Practice Address - Street 1:1309 BRAZOS ST
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:TX
Practice Address - Zip Code:76450-4020
Practice Address - Country:US
Practice Address - Phone:940-549-2223
Practice Address - Fax:940-549-5411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-17
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A5377Medicare PIN