Haven Residential Care LLC
NPI #1720802663 in Plainfield, Indiana
Provider Information
- NPI Number
- 1720802663
- Entity Type
- Organization
- Organization Name
- Haven Residential Care LLC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Nov 7, 2024
- Last Updated
- Nov 9, 2024
Practice Location
- Address
- 2481 ASCENT WAY APT 201
- City
- Plainfield
- State
- Indiana
- ZIP Code
- 46168-5657
- Phone
- (438) 874-6770
Authorized Official
- Name
- MARIANNE MUDAGIRI
- Title
- CHIEF OPERATING OFFICER
- Phone
- (438) 874-6770
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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