# HAVEN HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194390336
- **Authorized official:** KAELYN SOLOMON (DIRECTOR)
- **Authorized official phone:** (480) 283-5503

## Contact information

- **Practice address:** 64 E BROADWAY RD STE 200, TEMPE, AZ 85282-1377
- **Practice address phone:** (480) 283-5503
- **Mailing address:** 2969 N OREGON ST UNIT 10, CHANDLER, AZ 85225-7757
- **Mailing address phone:** (480) 283-5503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 05/20/2021
- **Last updated:** 05/20/2021