Whalio Doctors

NPI 1003958273

Haven Supports, LLC

Organisation Point of Service Pittsburg, KS

Practice location

Address
920 E 8th St, Pittsburg, KS 66762-4302
Phone
(620) 235-0177
Fax
(620) 235-0177
Mailing address
PO Box 299, Pittsburg, KS 66762-0299

Authorised official

Name
Justin Hermes
Title
President Ceo
Phone
(620) 235-0177

Registered specialties

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X

Registry record

NPI
1003958273
Entity type
Organization
NPI issued
13 Feb 2007
Record last updated
18 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.