Organization
HAVENCREST ALF INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YVONNE G JOHNSON (OWNER)
(954) 683-3945
Entity
Organization
Contact information
Practice address
4280 NW 113TH AVE, CORAL SPRINGS, FL 33065-7778
(954) 683-3945
Mailing address
4280 NW 113TH AVE, CORAL SPRINGS, FL 33065-7778
(954) 683-3945
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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