# THE HAVEN PRIMARY CARE

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

## Provider details

- **NPI number:** 1487559548
- **Authorized official:** MANDEE STULL NP (CO-OWNER/PROVIDER)
- **Authorized official phone:** (540) 480-4613

## Contact information

- **Practice address:** 202 6TH ST, GROTTOES, VA 24441-1701
- **Practice address phone:** (540) 480-4613
- **Mailing address:** 202 6TH ST, GROTTOES, VA 24441-1701

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |

## Other

- **Enumeration date:** 10/09/2026
- **Last updated:** 10/09/2026