Dehaven Healthcare, Inc. | |
121 Ray Rd Hazlehurst GA 31539-5119 | |
(888) 782-1138 | |
(912) 525-3183 |
Full Name | Dehaven Healthcare, Inc. |
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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 |
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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 |
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Provider Enumeration Date | 11/02/2007 |
Last Update Date | 03/20/2008 |
Identifier | Type | State | Issuer |
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1134308562 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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