Organization
ROYAL HAVEN HOME CARE SERVICES
Active
Organization
ROYAL HAVEN HOME CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVY BAISIE (CEO)
(678) 876-2724
Entity
Organization
Contact information
Practice address
6855 HIGHWAY 16 STE 102, SENOIA, GA 30276-8604
(678) 876-2724
Mailing address
55 ELLABELLE CT, SENOIA, GA 30276-6203
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/27/2024
Last updated
02/28/2024
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