| Dehaven Healthcare, Inc. | |
|
121 Ray Rd Hazlehurst GA 31539-5119 | |
| (888) 782-1138 | |
| (912) 525-3183 |
| Full Name | Dehaven Healthcare, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 121 Ray Rd, Hazlehurst, Georgia |
| Authorized Official Name and Position | Robert W. Dehaven (PRESIDENT & CEO) |
| Authorized Official Contact | 8887821138 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dehaven Healthcare, Inc. 131 Ray Rd Hazlehurst GA 31539-5119 Ph: (888) 782-1138 | Dehaven Healthcare, Inc. 121 Ray Rd Hazlehurst GA 31539-5119 Ph: (888) 782-1138 |
| NPI Number | 1134308562 |
|---|---|
| Provider Enumeration Date | 11/02/2007 |
| Last Update Date | 03/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134308562 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
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