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Organization
SANOURA HAVEN LLC
Active
Organization
SANOURA HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAITLIN PETERS RN (OWNER/OPERATOR, RN)
(208) 402-8769
Entity
Organization
Contact information
Practice address
110 12TH AVE S STE 201, NAMPA, ID 83651-3934
(208) 402-8769
(208) 266-5610
Mailing address
PO BOX 101, NAMPA, ID 83653-0101
(208) 402-8769
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
NULL
163WH0200X
Home Health Registered Nurse
Primary
—
—
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
Other
Enumeration date
08/07/2025
Last updated
01/18/2026
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