Provider Demographics
NPI:1235519273
Name:HAPPY LIFE STAFFING AGENCY LLC
Entity type:Organization
Organization Name:HAPPY LIFE STAFFING AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:RENE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEKENGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-409-3057
Mailing Address - Street 1:820 ROSEWOOD DRIVE
Mailing Address - Street 2:APT: C110
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-1861
Mailing Address - Country:US
Mailing Address - Phone:440-409-3057
Mailing Address - Fax:
Practice Address - Street 1:820 ROSEWOOD DRIVE
Practice Address - Street 2:APT: C110
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-1861
Practice Address - Country:US
Practice Address - Phone:440-409-3057
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-04
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health