HAVENS GATEWAY PERSONAL CARE FACILITY INC NPI 1346409943

NPI Information

HAVENS GATEWAY PERSONAL CARE FACILITY INC is a respite care and mental retardation and/or developmental disabilities respite care in Baton Rouge, LA. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. HAVENS GATEWAY PERSONAL CARE FACILITY INC NPI is 1346409943. The provider is registered as an organization entity type.

The provider's business location address is:

1200 S ACADIAN THRUWAY
212
BATON ROUGE, LA
ZIP 70806-900
Phone: (225) 343-4740
Fax: (225) 343-4742

The provider's authorized official is Alfreda Carter Jackson .
The authorized official title is Director Administrator and has the following contact phone number (225) 343-4740.

The enumeration date for this NPI number is 6/9/2008 and was last updated on 11/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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