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Organization

HAVEN HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
FRANKLIN FONTILLAS (MEMBER)
(702) 882-7736
Entity
Organization

Contact information

Practice address
8925 S PECOS ROAD STE 16A, OFFICE 7B, HENDERSON, NV 89074
(702) 882-7736
Mailing address
8925 S PECOS ROAD STE 16A, OFFICE 7B, HENDERSON, NV 89074

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
251G00000X
Community Based Hospice Care Agency
Primary

Other

Enumeration date
12/07/2022
Last updated
12/07/2022
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