Provider Demographics
NPI:1750476875
Name:HAPPY HOOVES, INC.
Entity Type:Organization
Organization Name:HAPPY HOOVES, INC.
Other - Org Name:EDEN FARMS
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:AMY
Authorized Official - Middle Name:S
Authorized Official - Last Name:GOUDELOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-898-0043
Mailing Address - Street 1:4700 DACUSVILLE HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:SC
Mailing Address - Zip Code:29661
Mailing Address - Country:US
Mailing Address - Phone:864-898-0043
Mailing Address - Fax:
Practice Address - Street 1:4700 DACUSVILLE HIGHWAY
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:SC
Practice Address - Zip Code:29661
Practice Address - Country:US
Practice Address - Phone:864-898-0043
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty