Organization
HAVEN HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRIDGET G THOMPSON (MEMBER)
(804) 366-6373
Entity
Organization
Contact information
Practice address
1134 HYBLA RD, NORTH CHESTERFIELD, VA 23236-2012
(804) 366-6373
Mailing address
PO BOX 42218, RICHMOND, VA 23224-9218
(804) 366-6373
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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