Organization
HAVEN HOME CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAHIR HERSI (MANAGER)
(614) 772-6670
Entity
Organization
Contact information
Practice address
3550 SHERIDAN RD, KENOSHA, WI 53140-2537
(614) 772-6670
Mailing address
3550 SHERIDAN RD, KENOSHA, WI 53140-2537
(614) 772-6670
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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