# DENHAVENS PCH, INC.

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

## Provider details

- **NPI number:** 1265219091
- **Authorized official:** CELIA MODICUE (DIRECTOR)
- **Authorized official phone:** (404) 441-1000

## Contact information

- **Practice address:** 3675 CRESTWOOD PKWY NW STE 400, DULUTH, GA 30096-5054
- **Practice address phone:** (404) 441-1000
- **Mailing address:** 3675 CRESTWOOD PKWY NW STE 400, DULUTH, GA 30096-5054
- **Mailing address phone:** (404) 441-1000

## Taxonomy

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

## Other

- **Enumeration date:** 09/14/2023
- **Last updated:** 09/14/2023