Organization
HAVEN HOME HEALTH LLC
Active
Parent organization
HAVEN LIFELINE INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAVEN LIFELINE INC
Authorized official
NKEYA PETERMAN (PRESIDENT)
(334) 549-2694
Entity
Organization
Contact information
Practice address
13166 US HIGHWAY 80 E, PIKE ROAD, AL 36064-4028
(334) 590-5647
Mailing address
8808 ALDERWOOD WAY, MONTGOMERY, AL 36117-8465
(334) 590-5647
(833) 652-7741
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
163W00000X
Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
251E00000X
Home Health Agency
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
08/03/2023
Last updated
10/18/2023
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