Provider Demographics
NPI:1528728565
Name:HARMONY LIFE, LLC
Entity type:Organization
Organization Name:HARMONY LIFE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:AMIE
Authorized Official - Middle Name:
Authorized Official - Last Name:DEGRAFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:904-490-8496
Mailing Address - Street 1:8895 N MILITARY TRL STE 203C
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33410-6261
Mailing Address - Country:US
Mailing Address - Phone:772-310-8785
Mailing Address - Fax:949-561-5660
Practice Address - Street 1:8895 N MILITARY TRL STE 203C
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33410-6261
Practice Address - Country:US
Practice Address - Phone:772-310-8785
Practice Address - Fax:949-561-5660
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-17
Last Update Date:2023-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty