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Organization
HAVEN LTH, LLC
Active
Organization
HAVEN LTH, LLC
Active
Other names
Haven Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE GOJKOVICH (COMPLIANCE MANAGER)
(575) 635-3318
Entity
Organization
Contact information
Practice address
16620 E RIVERSIDE DR, SAINT PAUL, VA 24283-3510
(575) 635-3318
Mailing address
885 PENNIMAN AVE UNIT 6426, PLYMOUTH, MI 48170-7722
(888) 891-0786
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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