# JADE HAVEN LLC

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

## Provider details

- **NPI number:** 1669318093
- **Authorized official:** MS. CHRISTINA WANG PA-C (PHYSICIAN ASSISTANT/MANAGING MEMBER)
- **Authorized official phone:** (616) 212-0081

## Contact information

- **Practice address:** 7912 WHISTLE CREEK CT. SW, BYRON CENTER, MI 49315-9185
- **Practice address phone:** (616) 212-0081
- **Mailing address:** 7912 WHISTLE CREEK CT. SW, BYRON CENTER, MI 49315-9185
- **Mailing address phone:** (616) 212-0081

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AS0400X | Surgical Physician Assistant | — | NULL | Yes |
| 363AS0400X | Surgical Physician Assistant | — | — | Yes |

## Other

- **Enumeration date:** 04/27/2026
- **Last updated:** 08/26/2026
