| Organization Name: | HAVEN HOSPICE & PALLIATIVE CARE, LLC |
| NPI Number: | 1578883401 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WENDELL S BRANDON (OWNER) |
| Mailing Address: | 700 East Sunflower Road Suite 9 Cleveland |
| State: | MS US |
| Postal Code: | 387322726 |
| Phone Number: | 6628225844 |
| Fax Number: | 6628460833 |
| NPI Enumeration Date: | 06/02/2010 |
| NPI Last Update Date: | 06/02/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |