Organization
HAVEN LTH, LLC
Active
Other names
Haven Home Health Care
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE GOJKOVICH (COMPLIANCE MANAGER)
(575) 635-3318
Entity
Organization
Contact information
Practice address
885 PENNIMAN AVE UNIT 6426, PLYMOUTH, MI 48170-7722
(575) 635-3318
Mailing address
885 PENNIMAN AVE UNIT 6426, PLYMOUTH, MI 48170-7722
(575) 635-3318
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/17/2023
Last updated
04/18/2024
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