Provider Demographics
NPI:1730912205
Name:HARMONY HAVEN HEALTH LLC
Entity type:Organization
Organization Name:HARMONY HAVEN HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HODAN
Authorized Official - Middle Name:ABDI
Authorized Official - Last Name:ABDILAHI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-994-5790
Mailing Address - Street 1:6445 LYNDALE AVE S
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:MN
Mailing Address - Zip Code:55423-7558
Mailing Address - Country:US
Mailing Address - Phone:952-994-5790
Mailing Address - Fax:
Practice Address - Street 1:6445 LYNDALE AVE S
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55423-7558
Practice Address - Country:US
Practice Address - Phone:952-994-5790
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center