# BLUE HAVEN HOMECARE

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

## Provider details

- **NPI number:** 1720896996
- **Authorized official:** PRINCE OTTI ACHEAMPONG (OWNER)
- **Authorized official phone:** (508) 250-0877

## Contact information

- **Practice address:** 12 BROOKSIDE AVE APT 16, WORCESTER, MA 01602-1601
- **Practice address phone:** (774) 253-1205
- **Mailing address:** 100 FRONT ST STE 401, WORCESTER, MA 01608-1425

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 12/20/2024
- **Last updated:** 12/20/2024