Organization
HARMONY HEARTS VILLAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMARA WATKINS (PRESIDENT)
(313) 442-3144
Entity
Organization
Contact information
Practice address
7773 SHERWOOD ST, DETROIT, MI 48211-1785
(313) 442-3144
Mailing address
26730 BELANGER ST, ROSEVILLE, MI 48066-3147
(248) 221-2493
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
310400000X
Assisted Living Facility
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
310500000X
Mental Illness Intermediate Care Facility
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000
—
MI
Enumeration date
10/03/2018
Last updated
09/01/2022
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