Provider Demographics
NPI:1386674323
Name:HAVILAND CORPORATION
Entity Type:Organization
Organization Name:HAVILAND CORPORATION
Other - Org Name:HOME CARE PROVIDERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:AUGUSTINE
Authorized Official - Last Name:DONAGHY
Authorized Official - Suffix:III
Authorized Official - Credentials:N/A
Authorized Official - Phone:804-749-4598
Mailing Address - Street 1:19411 EXPLORER RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23146-1552
Mailing Address - Country:US
Mailing Address - Phone:804-749-4598
Mailing Address - Fax:804-749-4398
Practice Address - Street 1:19411 EXPLORER RIDGE RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:VA
Practice Address - Zip Code:23146-1552
Practice Address - Country:US
Practice Address - Phone:804-749-4598
Practice Address - Fax:804-749-4398
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies