| Home For Happy Life Llc | |
|
3525 W Diana Ave Phoenix AZ 85051-4743 | |
| (623) 205-6362 | |
| Not Available |
| Full Name | Home For Happy Life Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3525 W Diana Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Brenda Campbell (CO-OWNER) |
| Authorized Official Contact | 6232056362 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Home For Happy Life Llc 3525 W Diana Ave Phoenix AZ 85051-4743 Ph: (623) 205-6362 | Home For Happy Life Llc 3525 W Diana Ave Phoenix AZ 85051-4743 Ph: (623) 205-6362 |
| NPI Number | 1700573581 |
|---|---|
| Provider Enumeration Date | 04/20/2023 |
| Last Update Date | 04/20/2023 |
| Certification Date | 04/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700573581 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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