| NPI | 1447972625 |
|---|---|
| Former Legal Business Name | HEALING HAVEN HOMES |
| Entity Type | Organization |
| Authorized Contact | MABEL NIKOI Owner/Administrator 703-554-7829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2022-09-14 |