# HAVEN EEOI HOLDINGS, LLC

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

## Provider details

- **NPI number:** 1790530368
- **Authorized official:** JULIE GOJKOVICH (COMPLIANCE MANAGER)
- **Authorized official phone:** (575) 635-3318

## Contact information

- **Practice address:** 1510 E 20TH ST, FARMINGTON, NM 87401-9033
- **Practice address phone:** (575) 635-3318
- **Mailing address:** 16165 N 83RD AVE STE 200, PEORIA, AZ 85382-5816
- **Mailing address phone:** (866) 554-2836

## Taxonomy

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

## Other

- **Enumeration date:** 04/18/2024
- **Last updated:** 06/23/2025
