Organization
NINA'S HAVEN INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN EDWARDS (PRESIDENT/ADMINISTRATOR)
(954) 404-4423
Entity
Organization
Contact information
Practice address
10620 SUNSET STRIP, SUNRISE, FL 33322-2618
(954) 404-4423
(954) 380-9537
Mailing address
10411 NW 21ST CT, SUNRISE, FL 33322-3512
(954) 746-6732
(954) 380-9537
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
10795
FL
Other
Enumeration date
09/13/2016
Last updated
09/13/2016
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