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Organization
LEGACY HAVEN CARE LLC
Active
Organization
LEGACY HAVEN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONETTA LATRICE PRINCE (OWNER/PRESIDENT)
(816) 756-7508
Entity
Organization
Contact information
Practice address
17455 SAMUEL ST, BENNINGTON, NE 68007-1967
(402) 505-2664
Mailing address
PO BOX 12332, OMAHA, NE 68112-0332
(402) 505-2664
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
10/01/2026
Last updated
10/01/2026
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