Whalio Doctors

NPI 1447798806

Blue Haven Group Corp

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Coral Springs, FL

Practice location

Address
3241 NW 108th Dr, Coral Springs, FL 33065-3528
Phone
(954) 540-6470
Fax
(954) 796-7104
Mailing address
3241 NW 108 Dr., Coral Springs, FL 33065

Authorised official

Name
Luis J. Ariza
Title
President
Phone
(954) 540-6470

Registered specialties (3)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X Licence 10-2899GH (FL)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X Licence 10-2794GH (FL)
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320600000X Licence 10-2941GH

Registry record

NPI
1447798806
Entity type
Organization
NPI issued
6 Feb 2017
Record last updated
6 Feb 2017

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.