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Organization

HAVEN COMMUNITY HOMES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAKESHA WASHINGTON (OWNER)
(586) 935-7616
Entity
Organization

Contact information

Practice address
19361 MOENART ST, DETROIT, MI 48234-2355
(586) 935-7616
Mailing address
22756 TEPPERT AVE, EASTPOINTE, MI 48021-1928
(586) 935-7616

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
177F00000X
Lodging Provider
Primary
251C00000X
Developmentally Disabled Services Day Training Agency
251E00000X
Home Health Agency
310400000X
Assisted Living Facility
343900000X
Non-emergency Medical Transport (VAN)
347C00000X
Private Vehicle
385H00000X
Respite Care

Other

Enumeration date
01/08/2025
Last updated
01/08/2025
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