Provider Demographics
NPI:1295150712
Name:HAPPY LIVING LLC
Entity type:Organization
Organization Name:HAPPY LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIE
Authorized Official - Middle Name:
Authorized Official - Last Name:EDMOND
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:561-299-8343
Mailing Address - Street 1:582 KOALA DR
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-4210
Mailing Address - Country:US
Mailing Address - Phone:561-299-8343
Mailing Address - Fax:407-201-5584
Practice Address - Street 1:582 KOALA DR
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-4210
Practice Address - Country:US
Practice Address - Phone:561-299-8343
Practice Address - Fax:407-201-5584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-19
Last Update Date:2014-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9359956313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility