Organization
HAVEN RESIDENTIAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALI A HASSAN (CEO)
(207) 391-2527
Entity
Organization
Contact information
Practice address
240 HARVARD ST APT 107, PORTLAND, ME 04103-3533
(207) 391-2527
Mailing address
240 HARVARD ST APT 107, PORTLAND, ME 04103-3533
(207) 391-2527
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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