Organization
HAVEN EEOI HOLDINGS LLC
Active
Other names
Haven Specialty Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIN RUARK (MANAGER)
(734) 560-8956
Entity
Organization
Contact information
Practice address
950 W BANNOCK ST STE 1100, BOISE, ID 83702-6140
(888) 891-0786
Mailing address
16165 N 83RD AVE STE 200, PEORIA, AZ 85382-5816
(866) 554-2836
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
06/23/2025
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