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Organization
HAVEN SKILLED CARE, LLC
Active
Organization
HAVEN SKILLED CARE, LLC
Active
Other names
DS HOME HEALTHCARE, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PETRUC (EXECUTIVE DIRECTOR)
(330) 305-6699
Entity
Organization
Contact information
Practice address
11366 CLEVELAND AVE NW STE B, UNIONTOWN, OH 44685-8078
(330) 305-6699
(330) 305-6856
Mailing address
11366 CLEVELAND AVE NW STE B, UNIONTOWN, OH 44685-8078
(330) 305-6699
(330) 305-6856
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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