Organization
SURE HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL DOR JR. RN-BSN (EXECUTIVE OFFICER)
(224) 545-8579
Entity
Organization
Contact information
Practice address
11 PARKLANDS DR UNIT 1637, BLUFFTON, SC 29910-5192
(224) 545-8579
Mailing address
PO BOX 3574, BLUFFTON, SC 29910-3574
(224) 545-8579
Taxonomy
Speciality
Code
Description
License number
State
163WI0500X
Infusion Therapy Registered Nurse
—
—
251F00000X
Home Infusion Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
11/11/2024
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