Organization
LILLY HAVEN CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMISO CHIPURIRO (OWNER)
(162) 927-8075
Entity
Organization
Contact information
Practice address
3109 ZERMATT AVE, NASHVILLE, TN 37211-8347
(162) 927-8075
Mailing address
3109 ZERMATT AVE, NASHVILLE, TN 37211-8347
(162) 927-8075
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/22/2025
Last updated
08/01/2025
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