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Organization

THE KEY HAVEN GROUP HOME INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHAWN LEE DOWNS (PRESIDENT)
(407) 562-6374
Entity
Organization

Contact information

Practice address
300 KEY HAVEN DR, SANFORD, FL 32771-5207
(407) 562-6374
(321) 363-4838
Mailing address
300 KEY HAVEN DR, SANFORD, FL 32771-5207
(407) 562-6374
(321) 363-4838

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
100019398
FL
251B00000X
Case Management Agency
100031331
FL

Other

Enumeration date
08/27/2014
Last updated
08/27/2014
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