Organization
HAVENCREST NETWORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLIFFORD MICHEL (LICENSED PRACTICAL NURSE)
(631) 500-0433
Entity
Organization
Contact information
Practice address
101 NICOLLS RD, STONY BROOK, NY 11794-0001
(631) 500-0433
Mailing address
418 BROADWAY # 8611, ALBANY, NY 12207-2922
(631) 500-0433
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
07/01/2025
Last updated
07/01/2025
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