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Organization

HAVEN HOME HEALTH, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AVERY BRIAN CAUSEY (PRESIDENT)
(318) 649-9840
Entity
Organization

Contact information

Practice address
7726 HIGHWAY 165, COLUMBIA, LA 71418-3322
(318) 649-9840
(318) 649-9849
Mailing address
7726 HIGHWAY 165, COLUMBIA, LA 71418-3322
(318) 649-9840
(318) 649-9849

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
262
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1402028
LA
Enumeration date
12/14/2005
Last updated
08/22/2020
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