Provider Demographics
NPI:1316712995
Name:HARMONY RESIDENTIAL CARE LLC
Entity type:Organization
Organization Name:HARMONY RESIDENTIAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:FLORENCE
Authorized Official - Middle Name:
Authorized Official - Last Name:NSENGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-420-4698
Mailing Address - Street 1:161 SACO AVE UNIT 214
Mailing Address - Street 2:
Mailing Address - City:OLD ORCHARD BEACH
Mailing Address - State:ME
Mailing Address - Zip Code:04064-1657
Mailing Address - Country:US
Mailing Address - Phone:817-420-4698
Mailing Address - Fax:
Practice Address - Street 1:161 SACO AVE UNIT 214
Practice Address - Street 2:
Practice Address - City:OLD ORCHARD BEACH
Practice Address - State:ME
Practice Address - Zip Code:04064-1657
Practice Address - Country:US
Practice Address - Phone:817-420-4698
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-23
Last Update Date:2023-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities