Organization
BLUE HAVEN HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRINCE OTTI ACHEAMPONG (OWNER)
(508) 250-0877
Entity
Organization
Contact information
Practice address
12 BROOKSIDE AVE APT 16, WORCESTER, MA 01602-1601
(774) 253-1205
Mailing address
100 FRONT ST STE 401, WORCESTER, MA 01608-1425
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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