| Organization Name: | HAVEN HEALTH OF LOUISIANA INC |
| NPI Number: | 1861447849 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LYNN KEITZ (OWNER) |
| Mailing Address: | 753 Robert Blvd. Suite B Slidell |
| State: | LA US |
| Postal Code: | 70458 |
| Phone Number: | 9856496001 |
| Fax Number: | 9856496006 |
| NPI Enumeration Date: | 05/24/2006 |
| NPI Last Update Date: | 01/24/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 167 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | LA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |