NPI 1124394440

Havencrest Alf INC

Organisation Physical Disabilities Residential Treatment Facility Coral Springs, FL

Practice location

Address: 4280 NW 113th Ave, Coral Springs, FL 33065-7778
Phone: (954) 683-3945

Authorised official

Name: Yvonne G Johnson
Title: Owner
Phone: (954) 683-3945

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X

Other Residential Treatment Facility, Physical Disabilities providers in Florida →

Registry record

NPI: 1124394440
Entity type: Organization
NPI issued: 30 Mar 2012
Record last updated: 30 Mar 2012

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.