A Healthy Haven

LBN: E & T Alliance Llc
A Healthy Haven is an health care organization with primary practice located at 410 Marcia Dr , Goldsboro NC 27530-9213. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as the primary health care specialty. E & T Alliance Llc can be contacted via phone (919) 734-9956, or through Ellermeier, Mark via phone (919) 734-9956.

Contact Information

Primary practice address
410 Marcia Dr Goldsboro NC 27530-9213
Phone: (919) 734-9956
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ellermeier, Mark
Phone: (919) 734-9956

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X MHL-096178 North Carolina

Profile Details

NPI number 1861563488
LBN Legal business name E & T Alliance Llc
DBA Doing business as A Healthy Haven
Authorized official Ellermeier, Mark
Entity Organization
Organization subpart 1 No
Enumeration date Nov 13th, 2006
Last updated Mar 6th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861563488 NPPES
North Carolina MEDICAID 6603996

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