| NPI | 1275252652 |
|---|---|
| Doing Business As | HERO'S HAVEN |
| Entity Type | Organization |
| Authorized Contact | RASBY G MASON Owner 318-230-8410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251300000X Local Education Agency (LEA) | |
| 251B00000X Case Management | |
| 251E00000X Home Health | |
| 251S00000X Community/Behavioral Health | |
| 251T00000X PACE Provider Organization | |
| 252Y00000X Early Intervention Provider Agency | |
| 253Z00000X In Home Supportive Care | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QV0200X Clinic/Center, VA | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2022-08-26 |