Organization
HAVEN HOME SUPPORT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUSTAFA ABDURAHMAN MEAD (PRESIDENT)
(614) 929-1028
Entity
Organization
Contact information
Practice address
1251 W BROAD ST RM 110, COLUMBUS, OH 43222-1359
(614) 929-1028
Mailing address
1251 W BROAD ST RM 110, COLUMBUS, OH 43222-1359
(614) 929-1028
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/28/2024
Last updated
12/15/2024
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