Provider Demographics
NPI:1639190226
Name:OPEN ARMS HAVEN
Entity Type:Organization
Organization Name:OPEN ARMS HAVEN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHERIDAN
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCGHEE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:540-291-3577
Mailing Address - Street 1:24 HARDWAY LN
Mailing Address - Street 2:
Mailing Address - City:NATURAL BRIDGE
Mailing Address - State:VA
Mailing Address - Zip Code:24578-3587
Mailing Address - Country:US
Mailing Address - Phone:540-291-3577
Mailing Address - Fax:540-291-1042
Practice Address - Street 1:24 HARDWAY LN
Practice Address - Street 2:
Practice Address - City:NATURAL BRIDGE
Practice Address - State:VA
Practice Address - Zip Code:24578-3587
Practice Address - Country:US
Practice Address - Phone:540-291-3577
Practice Address - Fax:540-291-1042
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-21
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization
No385H00000XRespite Care FacilityRespite Care