Dream Haven Llc | |
233 E Morrison St Edgerton OH 43517-9302 | |
(419) 298-3377 | |
Not Available |
Full Name | Dream Haven Llc |
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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 |
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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 |
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Provider Enumeration Date | 02/25/2014 |
Last Update Date | 02/25/2014 |
Identifier | Type | State | Issuer |
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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 |