| Happy Home Respite Services, Llc | |
|
1219 Drake Ave Centerville IA 52544-2919 | |
| (641) 436-7807 | |
| Not Available |
| Full Name | Happy Home Respite Services, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1219 Drake Ave, Centerville, Iowa |
| Authorized Official Name and Position | Krista Elaine Siregar (CEO) |
| Authorized Official Contact | 6414367807 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Happy Home Respite Services, Llc 1219 Drake Ave Centerville IA 52544-2919 Ph: (641) 436-7807 | Happy Home Respite Services, Llc 1219 Drake Ave Centerville IA 52544-2919 Ph: (641) 436-7807 |
| NPI Number | 1598204836 |
|---|---|
| Provider Enumeration Date | 02/20/2017 |
| Last Update Date | 02/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598204836 | NPI | - | NPPES |
| X000220272 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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