| Dream Haven Llc | |
|
233 E Morrison St Edgerton OH 43517-9302 | |
| (419) 298-3377 | |
| Not Available |
| Full Name | Dream Haven Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 233 E Morrison St, Edgerton, Ohio |
| Authorized Official Name and Position | Pegge Sines (OWNER) |
| Authorized Official Contact | 4192983377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dream Haven Llc 233 E Morrison St Edgerton OH 43517-9302 Ph: (419) 298-3377 | Dream Haven Llc 233 E Morrison St Edgerton OH 43517-9302 Ph: (419) 298-3377 |
| NPI Number | 1710302971 |
|---|---|
| Provider Enumeration Date | 02/25/2014 |
| Last Update Date | 02/25/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710302971 | NPI | - | NPPES |
| 04-2260 | Other | OH | ADULT CARE FACILITIY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 04-2260 (Ohio) | Primary |