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Organization

RELIANT HAVEN HEALTHCARE

Active
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Organization

RELIANT HAVEN HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SABINE PROPHILE REGISTERED NURSE (DIRECTOR OF NURSING)
(347) 843-9927
Entity
Organization

Contact information

Practice address
5721 SUFFEX GREEN LN, ATLANTA, GA 30339-6117
(347) 843-9927
Mailing address
5721 SUFFEX GREEN LN, ATLANTA, GA 30339-6117
(347) 843-9927

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
251G00000X
Community Based Hospice Care Agency
315D00000X
Inpatient Hospice
347E00000X
Transportation Broker
3747P1801X
Personal Care Attendant

Other

Enumeration date
08/04/2020
Last updated
08/04/2020
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