Organization
HAVENWOOD CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EYOBE DEBEBE WOLDEMARIAM (OWNER)
(651) 500-7790
Entity
Organization
Contact information
Practice address
11704 CARTIER AVE S, BURNSVILLE, MN 55337-3227
(651) 500-7790
Mailing address
11704 CARTIER AVE S, BURNSVILLE, MN 55337-3227
(651) 500-7790
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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