Organization
HAVEN HEALTH OF LOUISIANA INC
Active
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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