Organization
HAPPY HAVEN HOMES
Active
Other names
happy days workshop
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDALL J SMITH (ASST. ADMIN.)
(985) 543-0574
Entity
Organization
Contact information
Practice address
1206 J W DAVIS DR, SUITE 105, HAMMOND, LA 70403
(985) 543-0574
(985) 542-2832
Mailing address
42630 HINSON RD, HAMMOND, LA 70403-3216
(985) 543-0574
(985) 542-2832
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
10155
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1193046
—
LA
Enumeration date
12/14/2007
Last updated
12/14/2007
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