Organization
HAVEN SKILLED CARE, LLC
Active
Other names
DS HOME HEALTHCARE, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PETRUC (EXECUTIVE DIRECTOR)
(330) 305-6699
Entity
Organization
Contact information
Practice address
11366 CLEVELAND AVE NW STE B, UNIONTOWN, OH 44685-8078
(330) 305-6699
(330) 305-6856
Mailing address
11366 CLEVELAND AVE NW STE B, UNIONTOWN, OH 44685-8078
(330) 305-6699
(330) 305-6856
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/19/2011
Last updated
07/19/2011
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