Organization
HAVENCREST ALF, LLC
Active
Other names
Havencrest Assisted Living Facility, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
YVONNE JOHNSON (OWNER)
(954) 683-3945
Entity
Organization
Contact information
Practice address
4280 NW 113TH AVE, CORAL SPRINGS, FL 33065-7778
(954) 345-2362
(954) 345-7123
Mailing address
4280 NW 113TH AVE, CORAL SPRINGS, FL 33065-7778
(954) 345-2362
(954) 345-7123
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL9357
FL
Other
Enumeration date
05/23/2013
Last updated
05/23/2013
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