Heavenly Haven
NPI #1093913485 in Baton Rouge, Louisiana
Provider Information
- NPI Number
- 1093913485
- Entity Type
- Organization
- Organization Name
- Heavenly Haven
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Jul 6, 2007
- Last Updated
- Mar 14, 2008
Practice Location
- Address
- 4824 E BROOKSTOWN DR
- City
- Baton Rouge
- State
- Louisiana
- ZIP Code
- 70805-3823
- Phone
- (225) 357-7206
Authorized Official
- Name
- MRS. DOROTHY I NELSON
- Title
- CEO
- Phone
- (225) 357-7206
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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