Organization
W.O.R.C. HAVEN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN DAVIDSON MACC (SECRETARY/TREASURER/CFO)
(305) 273-3023
Entity
Organization
Contact information
Practice address
1090 JIMMY ANN DR, DAYTONA BEACH, FL 32117-4591
(386) 274-4228
(386) 256-4874
Mailing address
9040 SUNSET DR, MIAMI, FL 33173-3432
(305) 596-9040
(305) 275-3345
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140559400
—
FL
Enumeration date
04/25/2017
Last updated
04/25/2017
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