Organization
HAPPY HEARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELIZABETH FRY (SERVICE FACILATATOR)
(540) 547-9714
Entity
Organization
Contact information
Practice address
14051 CAMERON CT, BOSTON, VA 22713-4216
(540) 547-9714
(866) 760-8067
Mailing address
14051 CAMERON CT, BOSTON, VA 22713-4216
(540) 547-9714
(866) 760-8067
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0167590238
—
VA
Enumeration date
08/09/2015
Last updated
08/09/2015
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