Provider Demographics
NPI:1972158871
Name:HARMONY IMPERIAL HEALTHCARE LLC.
Entity type:Organization
Organization Name:HARMONY IMPERIAL HEALTHCARE LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ABIMBOLA
Authorized Official - Middle Name:OLADUNNI
Authorized Official - Last Name:DUYILEMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-672-1956
Mailing Address - Street 1:16930 COBBLER CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-7157
Mailing Address - Country:US
Mailing Address - Phone:832-672-1956
Mailing Address - Fax:
Practice Address - Street 1:16930 COBBLER CROSSING DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-7157
Practice Address - Country:US
Practice Address - Phone:832-672-1956
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-07
Last Update Date:2019-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health