| Haven Direct Health Systems Llc | |
|
716 College View Dr Ste A Riverton WY 82501-2282 | |
| (307) 856-1189 | |
| Not Available |
| Full Name | Haven Direct Health Systems Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 716 College View Dr Ste A, Riverton, Wyoming |
| Authorized Official Name and Position | Jadell Hovander (MANAGING MEMBER) |
| Authorized Official Contact | 3078561189 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Haven Direct Health Systems Llc Po Box 6066 Riverton WY 82501-0399 Ph: (307) 856-1189 | Haven Direct Health Systems Llc 716 College View Dr Ste A Riverton WY 82501-2282 Ph: (307) 856-1189 |
| NPI Number | 1043977176 |
|---|---|
| Provider Enumeration Date | 11/23/2021 |
| Last Update Date | 11/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043977176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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