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General NPI Number Information
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NPI Number | 1528907508
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Entity Type | Organization
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Legal Business Name | OAK HAVEN HOME CARE LLC
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 105 VULCAN RD STE 221
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City | HOMEWOOD
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State | AL
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Zip | 35209-4760
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Country | US
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Telephone | 205-245-5621
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 680054
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City | PRATTVILLE
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State | AL
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Zip | 36068-0054
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Country | US
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Telephone | 205-245-5621
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ABREASCIA CROCKETT
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Credential |
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Telephone | 205-245-5621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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