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Organization

HAVEN LTH, LLC

Active
Other names
Haven Home Health Care
Organization subpart
No

Provider details

NPI number
Authorized official
JULIE GOJKOVICH (COMPLIANCE MANAGER)
(575) 635-3318
Entity
Organization

Contact information

Practice address
16620 E RIVERSIDE DR, SAINT PAUL, VA 24283-3510
(575) 635-3318
Mailing address
885 PENNIMAN AVE UNIT 6426, PLYMOUTH, MI 48170-7722
(888) 891-0786

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
04/18/2024
Last updated
04/18/2024
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