# HARMONY AT FIVE FORKS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649184359
- **Authorized official:** MR. JASON DYNAK (LICENSING COORDINATOR)
- **Authorized official phone:** (843) 793-2551

## Contact information

- **Practice address:** 345 FIVE FORKS RD, SIMPSONVILLE, SC 29681-6806
- **Practice address phone:** (864) 412-4700
- **Mailing address:** 4423 PHEASANT RIDGE RD STE 201, ROANOKE, VA 24014-5300
- **Mailing address phone:** (540) 774-7762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 09/30/2026
- **Last updated:** 09/30/2026