Organization
LUTHERAN HAVEN EXTENDED CONGREGATE CARE, LLC
Active
Parent organization
LUTHERAN HAVEN INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUTHERAN HAVEN INC
Authorized official
JERRY GRIFFING (CEO)
(407) 365-5676
Entity
Organization
Contact information
Practice address
2035 W SR 426, OVIEDO, FL 32765-8524
(407) 365-5676
Mailing address
2041 W SR 426, OVIEDO, FL 32765-8548
(407) 365-5676
(407) 366-0128
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Enumeration date
10/01/2015
Last updated
02/10/2026
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