| Happy At Home | |
|
2237 W Memorial Rd Ste 112 Oklahoma City OK 73134-8064 | |
| (405) 808-3714 | |
| Not Available |
| Full Name | Happy At Home |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 2237 W Memorial Rd Ste 112, Oklahoma City, Oklahoma |
| Authorized Official Name and Position | Jillian Herndon (OWNER) |
| Authorized Official Contact | 4058083714 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Happy At Home 2237 W Memorial Rd Ste 112 Oklahoma City OK 73134-8064 Ph: (405) 808-3714 | Happy At Home 2237 W Memorial Rd Ste 112 Oklahoma City OK 73134-8064 Ph: (405) 808-3714 |
| NPI Number | 1811607690 |
|---|---|
| Provider Enumeration Date | 12/01/2022 |
| Last Update Date | 04/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811607690 | NPI | - | NPPES |
| 201149220A | Medicaid | OK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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