# W.O.R.C. HAVEN INC.

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

## Provider details

- **NPI number:** 1568997849
- **Authorized official:** KAREN DAVIDSON MACC (SECRETARY/TREASURER/CFO)
- **Authorized official phone:** (305) 273-3023

## Contact information

- **Practice address:** 1090 JIMMY ANN DR, DAYTONA BEACH, FL 32117-4591
- **Practice address phone:** (386) 274-4228
- **Practice address fax:** (386) 256-4874
- **Mailing address:** 9040 SUNSET DR, MIAMI, FL 33173-3432
- **Mailing address phone:** (305) 596-9040
- **Mailing address fax:** (305) 275-3345

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/25/2017
- **Last updated:** 04/25/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 140559400 | — | FL |