NPI 1679413603

North Haven Residential Care LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Portage, MI

Practice location

Address: 313 W Kilgore Rd, Portage, MI 49002-0501
Phone: (269) 220-1114

Authorised official

Name: Tety Mumararungu
Title: Ceo
Phone: (269) 220-1114

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1679413603
Entity type: Organization
NPI issued: 30 Mar 2026
Record last updated: 30 Mar 2026

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.