Organization
ASPIRE HAVEN GROUP HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TANISHA OKONJI (OWNER)
(770) 905-2521
Entity
Organization
Contact information
Practice address
2093 AMBERLY DR, MIDDLEBURG, FL 32068-3698
(770) 905-2521
Mailing address
9541 103RD ST APT 1120, JACKSONVILLE, FL 32210-0336
(770) 905-2521
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/21/2024
Last updated
10/21/2024
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