Provider Demographics
NPI:1982884425
Name:HARMONY CIRCLE ASSISTED LIVING
Entity Type:Organization
Organization Name:HARMONY CIRCLE ASSISTED LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASSISTED LIVING FACILITY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-221-8071
Mailing Address - Street 1:1841 E HARMONY CIR
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85204-6037
Mailing Address - Country:US
Mailing Address - Phone:480-584-4665
Mailing Address - Fax:480-584-4714
Practice Address - Street 1:1841 E HARMONY CIR
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85204-6037
Practice Address - Country:US
Practice Address - Phone:480-584-4665
Practice Address - Fax:480-584-4714
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZALH-6324261QH0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service