Provider Demographics
NPI:1386460566
Name:TARITA, HAPPINESS R
Entity type:Individual
Prefix:
First Name:HAPPINESS
Middle Name:R
Last Name:TARITA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3927 E 21ST AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99223-5421
Mailing Address - Country:US
Mailing Address - Phone:248-773-1396
Mailing Address - Fax:202-335-7914
Practice Address - Street 1:3927 E 21ST AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99223-5421
Practice Address - Country:US
Practice Address - Phone:509-242-3112
Practice Address - Fax:202-335-7914
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-03
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA756233311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home