| Compassionate Haven Llc | |
|
116 E Pierce St Ste 500 Mangum OK 73554-4206 | |
| (469) 300-1120 | |
| Not Available |
| Full Name | Compassionate Haven Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 116 E Pierce St Ste 500, Mangum, Oklahoma |
| Authorized Official Name and Position | Susan Kibe (OWNER) |
| Authorized Official Contact | 4693001120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Compassionate Haven Llc 800 Opal Path Princeton TX 75407-2265 Ph: () - | Compassionate Haven Llc 116 E Pierce St Ste 500 Mangum OK 73554-4206 Ph: (469) 300-1120 |
| NPI Number | 1811706252 |
|---|---|
| Provider Enumeration Date | 12/31/2024 |
| Last Update Date | 12/31/2024 |
| Certification Date | 12/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811706252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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