Organization
HEALTH HAVEN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. FOLASHADE MEDUTENI RN,BSN (OWNER/DIRECTOR)
(404) 421-2100
Entity
Organization
Contact information
Practice address
3208 BAYLOR CIR, MCDONOUGH, GA 30253-6164
(404) 421-2100
Mailing address
3208 BAYLOR CIR, MCDONOUGH, GA 30253-6164
(404) 421-2100
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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