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Organization
HOME HAVEN LIVING LLC
Active
Organization
HOME HAVEN LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH ANTHONY YATES III (CEO)
(602) 860-3758
Entity
Organization
Contact information
Practice address
5727 S 35TH PL, PHOENIX, AZ 85040-3864
(602) 860-3758
Mailing address
6825 S 68TH LN, LAVEEN, AZ 85339-5037
(602) 860-3758
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
253Z00000X
In Home Supportive Care Agency
—
NULL
343900000X
Non-emergency Medical Transport (VAN)
—
NULL
385H00000X
Respite Care
—
NULL
Other
Enumeration date
01/14/2025
Last updated
01/14/2025
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