Provider Demographics
NPI:1376042127
Name:OUR HAPPY HOME CARE AGENCY
Entity type:Organization
Organization Name:OUR HAPPY HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MAM
Authorized Official - Middle Name:
Authorized Official - Last Name:JALLOW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-223-0251
Mailing Address - Street 1:15205 32ND AVE W
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98087-2430
Mailing Address - Country:US
Mailing Address - Phone:907-223-0251
Mailing Address - Fax:
Practice Address - Street 1:15205 32ND AVE W
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98087-2430
Practice Address - Country:US
Practice Address - Phone:907-223-0251
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-07
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities