Haven House Community Support Center Llc

NPI 1043473606 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1043473606
Enumeration Date 07/03/2008
Last Updated 02/14/2012
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name PAMELA PAMELA
Position OWNER
Phone (715) 339-6453
Fax (715) 339-6450
Practice Location
548 N LAKE AVE
PHILLIPS WI, 54555-1028, US
Phone (715) 339-6453
Fax (715) 339-6450
Business Location
548 N LAKE AVE
PHILLIPS WI, 54555-1028, US
Phone (715) 339-6453
Fax (715) 339-6450
Toxanomy
Taxonomy Code 251S00000X
License State Wisconsin
License Number 2793
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According to our database, Haven House Community Support Center Llc NPI is 1043473606, taxonomy code is 251S00000X and license number is 2793, license state is located at Wisconsin. Haven House Community Support Center Llc physically located at 548 N Lake Ave, Phillips WI, 54555-1028. NPI Number 1033115704 has the healthcare provider type.

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1043473606 NPI number is provided on an as is basis without warranty of any kind. 1043473606 is maintained by the National Plan & Provider Enumeration System. The contents of Haven House Community Support Center Llc are for informational purposes only.