Organization
GRAND HAVEN HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTLE BURTON (AGENCY OWNER)
(731) 330-4769
Entity
Organization
Contact information
Practice address
620 OLD HICKORY BLVD STE 440C, JACKSON, TN 38305-2904
(731) 330-4769
Mailing address
620 OLD HICKORY BLVD STE 440C, JACKSON, TN 38305-2904
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
08/16/2025
Last updated
08/16/2025
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