Organization
HAVEN HOME CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMANUEL RAMOS - RODRIGUEZ (PRESIDENT)
(904) 290-2939
Entity
Organization
Contact information
Practice address
2151 LANE AVE S, JACKSONVILLE, FL 32210-2788
(904) 290-2939
Mailing address
4275 HANGING MOSS DR, ORANGE PARK, FL 32073-7643
(904) 290-2939
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
09/01/2022
Last updated
09/09/2022
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