Green Haven Adult Day Program LLC
NPI #1770258568 in Hazelwood, Missouri
Provider Information
- NPI Number
- 1770258568
- Entity Type
- Organization
- Organization Name
- Green Haven Adult Day Program LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Aug 12, 2021
- Last Updated
- Aug 12, 2021
Practice Location
Authorized Official
- Name
- MRS. TIFFANY DANIELLE GREEN
- Title
- PROGRAM DIRECTOR
- Phone
- (314) 393-1639
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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