Organization
BLUE HAVEN ADULT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANNIE LOU WILLIAMS RN (ADMINISTRATOR/DIRECTOR)
(251) 455-7037
Entity
Organization
Contact information
Practice address
1725 LOTT RD, EIGHT MILE, AL 36613-3845
(251) 455-7037
Mailing address
1725 LOTT RD, EIGHT MILE, AL 36613-3845
(251) 455-7037
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/25/2019
Last updated
11/25/2019
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