Organization
DAILY HAVEN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANN IRENE MAUGHON (OWNER/C.E.O)
(770) 761-8889
Entity
Organization
Contact information
Practice address
1105 N MAIN ST NW, CONYERS, GA 30012-4352
(770) 761-8889
(770) 761-0855
Mailing address
PO BOX 1084, CONYERS, GA 30012-1084
(770) 761-8889
(770) 761-0855
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000669446A
—
GA
05
—
000669446B
—
GA
Enumeration date
05/18/2022
Last updated
05/18/2022
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