Organization
HAVENHILL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY ANN WALTON RN (PRESIDENT)
(503) 930-2603
Entity
Organization
Contact information
Practice address
555 MISTY HILL LN SE, SALEM, OR 97306-9854
(503) 362-2391
Mailing address
555 MISTY HILL LN SE, SALEM, OR 97306-9854
(503) 362-2391
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
1389843-7
OR
Other
Enumeration date
12/11/2010
Last updated
12/11/2010
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