Organization
HAPPY'S HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DIXON-TATUM LPN (OWNER)
(623) 401-6331
Entity
Organization
Contact information
Practice address
401 N 6TH ST STE B, BUCKEYE, AZ 85326-2415
(623) 401-6331
(623) 233-6331
Mailing address
401 N 6TH ST STE B, BUCKEYE, AZ 85326-2415
(623) 401-6331
(623) 233-6331
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/03/2025
Last updated
05/16/2025
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