Provider Demographics
NPI:1780402321
Name:WARM HEAVEN ENTERPRISE INC
Entity type:Organization
Organization Name:WARM HEAVEN ENTERPRISE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SAAD
Authorized Official - Middle Name:A
Authorized Official - Last Name:GUESSOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-319-4650
Mailing Address - Street 1:75 PARK ST STE 1010
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-7129
Mailing Address - Country:US
Mailing Address - Phone:207-319-4560
Mailing Address - Fax:
Practice Address - Street 1:75 PARK ST STE 1010
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-7129
Practice Address - Country:US
Practice Address - Phone:207-319-4560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-02
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities