Organization
HAVES HOLDING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAHIRAH RIVERA (EXECUTIVE DIRECTOR)
(706) 842-8115
Entity
Organization
Contact information
Practice address
3909 CREST DR, HEPHZIBAH, GA 30815-6114
(706) 910-3857
Mailing address
PO BOX 9651, AUGUSTA, GA 30916-9651
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
—
—
Other
Enumeration date
04/10/2023
Last updated
04/10/2023
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