# HAVEN MANOR, INC.

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

## Provider details

- **NPI number:** 1972646693
- **Authorized official:** MRS. SARAH R FISCHER L.A. (TRAINING PROGRAM SUPERVISOR)
- **Authorized official phone:** (402) 434-2680

## Contact information

- **Practice address:** 4848 S 48TH ST, STE. 2, LINCOLN, NE 68516-1290
- **Practice address phone:** (402) 434-2680
- **Practice address fax:** (402) 434-2683
- **Mailing address:** PO BOX 6125, LINCOLN, NE 68506-0125
- **Mailing address phone:** (402) 434-2680
- **Mailing address fax:** (402) 434-2683

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 6681603 | NE | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 08/22/2020