Organization
DIVINE HAVEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE WILLIAMS (OWNER/CEO)
(727) 506-0177
Entity
Organization
Contact information
Practice address
19825 N COVE RD # 1010, CORNELIUS, NC 28031-6446
(704) 565-9257
Mailing address
19825 N COVE RD # 1010, CORNELIUS, NC 28031-6446
(704) 565-9257
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Enumeration date
11/24/2025
Last updated
11/24/2025
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