Organization
HAVEN'S MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROCHELLE BOYD (CEO)
(954) 296-8699
Entity
Organization
Contact information
Practice address
4609 SW MASEFIELD ST, PORT ST LUCIE, FL 34953-8402
(954) 296-8699
Mailing address
6900 NW 34TH ST, MARGATE, FL 33063-8043
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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