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General NPI Number Information
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NPI Number | 1932520855
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Entity Type | Organization
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Legal Business Name | HAPPY HEARTS ADULT DAY SERVICES, LLC
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Dates
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Enumeration Date | 12/18/2013
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Last Update Date | 01/07/2014
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Provider Practice Location Address
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Address Line | 326 S COMMERCE ST
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City | MARION
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State | VA
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Zip | 24354-3704
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Country | US
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Telephone | 276-274-3644
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Fax |
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Provider Business Mailing Address
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Address Line | 326 S COMMERCE ST
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City | MARION
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State | VA
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Zip | 24354-3704
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Country | US
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Telephone | 276-274-3644
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ALESIA BRANSON
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Credential |
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Telephone | 276-274-3644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State | VA
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