Organization
RELIANT HAVEN HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SABINE PROPHILE REGISTERED NURSE (DIRECTOR OF NURSING)
(347) 843-9927
Entity
Organization
Contact information
Practice address
5721 SUFFEX GREEN LN, ATLANTA, GA 30339-6117
(347) 843-9927
Mailing address
5721 SUFFEX GREEN LN, ATLANTA, GA 30339-6117
(347) 843-9927
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
—
—
251G00000X
Community Based Hospice Care Agency
—
—
315D00000X
Inpatient Hospice
—
—
347E00000X
Transportation Broker
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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