HEAVENLY HAVEN NPI 1093913485

NPI Information

HEAVENLY HAVEN is a residential treatment facility, intellectual and/or developmental disabilities in Baton Rouge, LA. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. HEAVENLY HAVEN NPI is 1093913485. The provider is registered as an organization entity type.

The provider's business location address is:

4824 E BROOKSTOWN DR
BATON ROUGE, LA
ZIP 70805-823
Phone: (225) 357-7206
Fax: (225) 357-6424

The provider's authorized official is Dorothy I Nelson .
The authorized official title is Ceo and has the following contact phone number (225) 357-7206.

The enumeration date for this NPI number is 7/6/2007 and was last updated on 3/14/2008.

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:

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