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General NPI Number Information
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NPI Number | 1710899638
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Entity Type | Organization
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Legal Business Name | HARBOR & HAVEN HOME CARE, LLC
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 125 POPLAR MANOR AVE
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City | FREDERICKSBURG
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State | VA
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Zip | 22406-4158
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Country | US
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Telephone | 202-834-7910
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Fax |
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Provider Business Mailing Address
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Address Line | 1520 BELLE VIEW BLVD PMB 5517
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City | ALEXANDRIA
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State | VA
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Zip | 22307-6530
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Country | US
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Telephone | 202-834-7910
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | LAKEISHA T BRADSHAW-MCINTOSH
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Credential |
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Telephone | 202-834-7910
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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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