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Organization
HAVEN NURSE REGISTRY
Active
Organization
HAVEN NURSE REGISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHERICA MOODIE (ADMINISTRATOR)
(561) 932-8904
Entity
Organization
Contact information
Practice address
3900 WOODLAKE BLVD STE 200-20, GREENACRES, FL 33463-3044
(561) 508-4644
Mailing address
3900 WOODLAKE BLVD STE 200-20, GREENACRES, FL 33463-3044
(561) 508-4644
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
NULL
251F00000X
Home Infusion Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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