# HOME HEALTH FLAGSTAFF LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Haven Home Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1689147258
- **Authorized official:** KRISTI JACKSON (DIRECTOR OF CLINICAL SERVICES)
- **Authorized official phone:** (941) 257-4285

## Contact information

- **Practice address:** 823 N SAN FRANCISCO ST STE 2-G1, FLAGSTAFF, AZ 86001-3294
- **Practice address phone:** (928) 414-9070
- **Mailing address:** 885 PENNIMAN AVE UNIT 6426, PLYMOUTH, MI 48170-7722
- **Mailing address phone:** (734) 560-8953
- **Mailing address fax:** (954) 337-3112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 01/07/2019
- **Last updated:** 12/12/2022