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Organization
HAVEN TRANSITIONAL LIVING
Active
Organization
HAVEN TRANSITIONAL LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANITA MARSEILLE (EXECUTIVE DIRECTO)
(772) 874-9288
Entity
Organization
Contact information
Practice address
1073 SW BIANCA AVE, PORT ST LUCIE, FL 34953-3206
(772) 874-9288
Mailing address
4380 SW CALAH CIR, PORT ST LUCIE, FL 34953-7524
(772) 874-9288
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
177F00000X
Lodging Provider
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
332U00000X
Home Delivered Meals
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
347C00000X
Private Vehicle
—
NULL
Other
Enumeration date
09/05/2025
Last updated
02/23/2026
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