Organization
HAPPY CARE ADULT DAY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERRY MONTGOMERY (OWNER)
(214) 928-7800
Entity
Organization
Contact information
Practice address
4915 BRASHEAR ST., DALLAS, TX 75210
(214) 928-7800
(214) 928-7803
Mailing address
4915 BRASHEAR ST, DALLAS, TX 75210
(214) 928-7800
(214) 928-7803
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
122010
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122010
MEDICARE ADULT DAY CENTER
TX
05
—
122010
—
TX
Enumeration date
12/03/2007
Last updated
12/03/2007
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