10D0988453 CLIA NUMBER - NORTH CENTRAL FLORIDA HOSPICE INC DBA HAVEN HOSPICE

Laboratory Demographics

CLIA Number: 10D0988453

Facility Name: NORTH CENTRAL FLORIDA HOSPICE INC DBA HAVEN HOSPICE

Facility Address:
4200 NW 90TH BLVD
GAINESVILLE, FL
ZIP 32606
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Facility Phone Number: 352 378-2121

Facility Type: Hospice

Certificate Type: Waiver

NPI Number: 1699742783

Taxonomy: 315D00000X - Hospice, Inpatient
A provider organization, or distinct part of the organization, which renders an interdisciplinary program providing palliative care, chiefly medical relief of pain and supporting services, which addresses the emotional, social, financial, and legal needs of terminally ill patients and their families where an institutional care environment is required for the patient.

CLIA Record

Field Name	Field Value
CLIA Number	10D0988453
LAB Type	Hospice
Facility Name	NORTH CENTRAL FLORIDA HOSPICE INC DBA HAVEN HOSPICE
Street	4200 NW 90TH BLVD
City	GAINESVILLE
State	FL
ZIP	32606
Phone	352 378-2121
CertificateType	4
CertificateEffectiveDate	6/28/2023
CertificateExpirationDate	6/27/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024