Organization
HAVEN DIRECT HEALTH SYSTEMS LLC
Active
Other names
Haven Direct Health
Organization subpart
No
Provider details
NPI number
Authorized official
JADELL HOVANDER APRN (MANAGING MEMBER)
(307) 856-1189
Entity
Organization
Contact information
Practice address
716 COLLEGE VIEW DR STE A, RIVERTON, WY 82501-2282
(307) 856-1189
Mailing address
PO BOX 6066, RIVERTON, WY 82501-0399
(307) 856-1189
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
11/23/2021
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