Provider Demographics
NPI:1306377114
Name:HARMONY CARE LLC
Entity type:Organization
Organization Name:HARMONY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:KAYODE
Authorized Official - Middle Name:
Authorized Official - Last Name:OWODUNNI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-536-6092
Mailing Address - Street 1:1586 MONTPELIER ST
Mailing Address - Street 2:
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23805-1331
Mailing Address - Country:US
Mailing Address - Phone:804-536-6092
Mailing Address - Fax:888-210-8578
Practice Address - Street 1:1586 MONTPELIER ST
Practice Address - Street 2:
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23805-1331
Practice Address - Country:US
Practice Address - Phone:804-536-6092
Practice Address - Fax:888-210-8578
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-23
Last Update Date:2017-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA1668320900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities