Provider Demographics
NPI:1417632944
Name:HAPPY HOPE SUPPORT GROUP LLC
Entity Type:Organization
Organization Name:HAPPY HOPE SUPPORT GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DINAH
Authorized Official - Middle Name:
Authorized Official - Last Name:OPOKU- MANU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-975-0344
Mailing Address - Street 1:13190 CENTERPOINTE WAY STE 202
Mailing Address - Street 2:
Mailing Address - City:WOODBRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:22193-5286
Mailing Address - Country:US
Mailing Address - Phone:703-975-0344
Mailing Address - Fax:571-989-7058
Practice Address - Street 1:13190 CENTERPOINTE WAY STE 202
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22193-5286
Practice Address - Country:US
Practice Address - Phone:703-975-0344
Practice Address - Fax:571-989-7058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-21
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care