Organization
HAPPY HOME RESPITE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA ELAINE SIREGAR (CEO)
(641) 436-7807
Entity
Organization
Contact information
Practice address
1219 DRAKE AVE, CENTERVILLE, IA 52544-2919
(641) 436-7807
Mailing address
1219 DRAKE AVE, CENTERVILLE, IA 52544-2919
(641) 436-7807
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
X000220272
—
IA
Enumeration date
02/20/2017
Last updated
02/20/2017
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