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General NPI Number Information
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NPI Number | 1760387591
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Entity Type | Organization
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Legal Business Name | HAPPY TRAILS ADULT FOSTER HOME
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Dates
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Enumeration Date | 10/12/2026
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Last Update Date | 10/12/2026
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Provider Practice Location Address
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Address Line | 51417 EVANS WAY
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City | LA PINE
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State | OR
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Zip | 97739-8866
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Country | US
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Telephone | 541-536-9900
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Fax | 503-360-0896
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Provider Business Mailing Address
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Address Line | PO BOX 1691
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City | LA PINE
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State | OR
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Zip | 97739-1691
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Country | US
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Telephone | 541-536-9900
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Fax | 503-360-0896
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DONNA R ZIGLER
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Credential |
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Telephone | 541-536-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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