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Organization

HAPPY HAVEN HOMES

Active
Other names
happy days workshop
Organization subpart
No

Provider details

NPI number
Authorized official
RANDALL J SMITH (ASST. ADMIN.)
(985) 543-0574
Entity
Organization

Contact information

Practice address
11365 PERRET ST, HAMMOND, LA 70401-4605
(985) 543-0574
(985) 542-2832
Mailing address
42630 HINSON RD, P.O. BOX 3092, HAMMOND, LA 70403-3216
(985) 543-0574
(985) 542-2832

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
534
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1719285
LA
Enumeration date
10/09/2007
Last updated
10/09/2007
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