| Happy Home Wellness Llc | |
|
2125 E Warner Rd Ste 103 Tempe AZ 85284-3490 | |
| (818) 913-8409 | |
| Not Available |
| Full Name | Happy Home Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2125 E Warner Rd Ste 103, Tempe, Arizona |
| Authorized Official Name and Position | Alfred Moosa (MANAGING PARTNER) |
| Authorized Official Contact | 8189138409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Happy Home Wellness Llc 2125 E Warner Rd Ste 103 Tempe AZ 85284-3490 Ph: (818) 913-8409 | Happy Home Wellness Llc 2125 E Warner Rd Ste 103 Tempe AZ 85284-3490 Ph: (818) 913-8409 |
| NPI Number | 1861112385 |
|---|---|
| Provider Enumeration Date | 09/02/2022 |
| Last Update Date | 09/06/2022 |
| Certification Date | 09/06/2022 |
| Medicare PECOS PAC ID | 2163899543 |
|---|---|
| Medicare Enrollment ID | O20221028000720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861112385 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Oluwatoyin Aluko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659952984 PECOS PAC ID: 2769859610 Enrollment ID: I20221104002118 |
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