| NPI | 1336439694 |
|---|---|
| Other Name | BLUE HAYVEN IN HOME HEALTH CARE LLC |
| Entity Type | Organization |
| Authorized Contact | NICOLE M BROCK-WILLIAMS Director 314-440-8087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2011-04-07 |