Organization
SHARON'S HAVEN INC
Active
Other names
Sharon's Haven Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON SHENESE ANDERSON (OWNER)
(352) 303-6755
Entity
Organization
Contact information
Practice address
12475 SE 102ND AVE, BELLEVIEW, FL 34420-7113
(352) 303-6755
Mailing address
12475 SE 102ND AVE, BELLEVIEW, FL 34420-7113
(352) 303-6755
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/07/2019
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