Organization
BLISS HAVEN, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BITTLE (OWNER)
(618) 927-5300
Entity
Organization
Contact information
Practice address
1304 DURHAM ST, JOHNSTON CITY, IL 62951-2043
(618) 952-0277
Mailing address
PO BOX 502, MARION, IL 62959-0502
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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