Organization
HAPPY VALLEY DAY FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LUCRETIUS DELRAY STEPHENS (DIRECTOR)
(706) 405-1349
Entity
Organization
Contact information
Practice address
3301 13TH AVE, COLUMBUS, GA 31904-7822
(706) 394-1887
Mailing address
3301 13TH AVE, COLUMBUS, GA 31904-7822
(706) 992-6330
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/10/2008
Last updated
10/26/2022
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