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Organization
HARMONY AT TUCKER STATION
Active
Organization
HARMONY AT TUCKER STATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON DYNAK (LICENSING COORDINATOR)
(843) 793-2551
Entity
Organization
Contact information
Practice address
12523 TAYLORSVILLE RD, LOUISVILLE, KY 40299-4400
(502) 694-4600
Mailing address
4423 PHEASANT RIDGE RD STE 201, ROANOKE, VA 24014-5300
(540) 774-7762
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NULL
Other
Enumeration date
09/29/2026
Last updated
09/29/2026
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