Provider Demographics
NPI:1538496641
Name:WESTMORELAND HAVEN, INC.
Entity Type:Organization
Organization Name:WESTMORELAND HAVEN, INC.
Other - Org Name:MOUNTAIN HAVEN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEOOWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:
Authorized Official - Last Name:SIEBERT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-503-4704
Mailing Address - Street 1:14 HUMMINGBIRD DR
Mailing Address - Street 2:
Mailing Address - City:SAUTEE NACOOCHEE
Mailing Address - State:GA
Mailing Address - Zip Code:30571-3628
Mailing Address - Country:US
Mailing Address - Phone:706-348-6705
Mailing Address - Fax:706-865-1428
Practice Address - Street 1:3972 WESTMORELAND RD
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:GA
Practice Address - Zip Code:30528-9131
Practice Address - Country:US
Practice Address - Phone:706-348-6705
Practice Address - Fax:706-865-1428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-10
Last Update Date:2009-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA154010079177F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes177F00000XOther Service ProvidersLodgingGroup - Single Specialty