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NPI Code Detail

MEDICARE: HAPPY HOME

MEDICARE: HAPPY HOME
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1311ZA0620XAdult Care Home Facility101223TX
2310400000XAssisted Living Facility116181TX

General Provider Information

NPI Number : 1972632305
Entity Type Code : Organization
Provider Name (Legal Business Name) : HAPPY HOME
Provider Business Mailing Address
First Line : 4523 EMORY OAK WOODS
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-1404
Country : US
Telephone Number : 210-445-7282
Fax Number : 210-493-3126
Provider Business Practice Location Address
First Line : 4523 EMORY OAK WOODS
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78249-1404
Country : US
Telephone Number : 210-445-7282
Fax Number : 210-493-3126
Authorized Official
Title or Position : OWNER/MANAGER
Name : MS. GERALDINE DOLORES WALKER
Credential : RN
Telephone Number : 210-445-7282
Provider Enumeration Date : 03/02/2007
Last Update Date : 09/21/2020

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Directions to “HAPPY HOME ” Practice Location

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