Organization
DEE S DE HAVEN CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIEDRE SMITH (OWNER)
(813) 751-4718
Entity
Organization
Contact information
Practice address
9624 MAXSON DRIVE, LAND O LAKES, FL 34638
(813) 751-4718
Mailing address
9624 MAXSON DRIVE, LAND O LAKES, FL 34638
(813) 751-4718
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
251S00000X
Community/Behavioral Health Agency
—
FL
253Z00000X
In Home Supportive Care Agency
251S00000X
FL
Other
Enumeration date
11/24/2015
Last updated
11/24/2015
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