Organization
HAVENRISE SENIOR LIVING, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTANA LASHONDA WILLIAMS (FOUNDER/OWNER)
(813) 316-8933
Entity
Organization
Contact information
Practice address
18001 RICHMOND PLACE DR APT 124, TAMPA, FL 33647-1742
(813) 316-8933
Mailing address
18001 RICHMOND PLACE DR APT 124, TAMPA, FL 33647-1742
(813) 316-8933
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
07/14/2026
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