Organization
LOVING HAVEN RESIDENTIAL ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KESHA C BAPTISTE REGISTERED NURSE (CEO)
(551) 202-2573
Entity
Organization
Contact information
Practice address
579 BELMONT AVE, HALEDON, NJ 07508-1629
(551) 202-2573
Mailing address
525 ROUTE 73 N STE 104, MARLTON, NJ 08053-3422
(551) 202-2573
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
11/02/2024
Last updated
11/08/2024
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