Healthcare Provider Details

I. General information

NPI: 1003277666
Provider Name (Legal Business Name): HAPPY LIVING AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/10/2016
Last Update Date: 12/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12201 E MISSISSIPPI AVE UNIT 101
AURORA CO
80012-3468
US

IV. Provider business mailing address

PO BOX 221748
DENVER CO
80222-1020
US

V. Phone/Fax

Practice location:
  • Phone: 720-300-8473
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateCO

VIII. Authorized Official

Name: MRS. YU GUO
Title or Position: PRESIDENT
Credential:
Phone: 720-300-8473