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Organization

HAVEN HEALTH CARES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIRANDA SAUCEDA (OWNER)
(573) 722-9191
Entity
Organization

Contact information

Practice address
502 WEST STURDIVANT STREET, ADVANCE, MO 63730
(573) 722-9191
(573) 722-9393
Mailing address
PO BOX 544, ADVANCE, MO 63730-0544
(573) 722-9191
(573) 722-9393

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
MO

Other

Enumeration date
08/22/2006
Last updated
08/22/2020
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