Organization
GULF HAVEN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBBY L MARTIN (ADMINISTRATOR)
(727) 967-4075
Entity
Organization
Contact information
Practice address
6343 ROWAN RD, NEW PORT RICHEY, FL 34653
(727) 967-4075
(352) 610-9364
Mailing address
6343 ROWAN RD, NEW PORT RICHEY, FL 34653
(727) 967-4075
(352) 610-9364
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9968
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011061-00
—
FL
Enumeration date
09/05/2012
Last updated
09/05/2012
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