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Organization

HAVEN HEALTH OF LOUISIANA INC

Active
Other names
Haven Health and Hospice of Louisiana
Organization subpart
No

Provider details

NPI number
Authorized official
LYNN KEITZ (OWNER)
(562) 426-7500
Entity
Organization

Contact information

Practice address
753 ROBERT BLVD., SUITE B, SLIDELL, LA 70458
(985) 649-6001
(985) 649-6006
Mailing address
753 ROBERT BLVD, SUITE B, SLIDELL, LA 70458
(985) 649-6001
(985) 649-6006

Taxonomy

Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
167
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
191612
MEDICARE PROVIDER NUMBER
LA
Enumeration date
05/24/2006
Last updated
01/24/2012
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