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Organization

UNITY B-HAVEN GROUP HOME AGENCY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACY MARIE MALONE LPN (OWNER)
(402) 621-0536
Entity
Organization

Contact information

Practice address
6308 L AVENUE PL, KEARNEY, NE 68847-7205
(402) 621-0536
Mailing address
6308 L AVENUE PL, KEARNEY, NE 68847-7205
(402) 621-0536

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
79685583
NE
Enumeration date
06/27/2025
Last updated
06/27/2025
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