Organization
EDEN HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SIBONGINKOSI OSEI (OWNER/LICENSEE)
(269) 806-5456
Entity
Organization
Contact information
Practice address
317 N SAGE ST, KALAMAZOO, MI 49006-4040
(269) 806-5459
Mailing address
1339 KINGSTON AVE, KALAMAZOO, MI 49001-5101
(269) 806-5459
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
AS390314539
MI
253J00000X
Foster Care Agency
—
MI
Other
Enumeration date
06/12/2012
Last updated
07/21/2022
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