| NPI | 1184342065 |
|---|---|
| Doing Business As | MARY'S HAVEN PERSONAL CARE HOME |
| Entity Type | Organization |
| Authorized Contact | JOSHUA DOUGLAS POWELL Owner 229-392-9387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311ZA0620X Custodial Care Facility, Adult Care Home |
| Enumeration Date | 2022-08-17 |
| Last Update Date | 2022-08-17 |