Eternal Haven Llc

LBN: Eternal Haven Llc
Eternal Haven Llc is an health care organization with primary practice located at 4111 Zebulon Ave Sw , Concord NC 28027-9209. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness. Agencies / Community/Behavioral Health is the primary health care specialty. Eternal Haven Llc can be contacted via phone (704) 796-1156, or through Blasse, Brandon via phone (704) 796-1156.

Contact Information

Primary practice address
4111 Zebulon Ave Sw Concord NC 28027-9209
Phone: (704) 796-1156
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blasse, Brandon
Phone: (704) 796-1156

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X

Profile Details

NPI number 1184489460
LBN Legal business name Eternal Haven Llc
DBA Doing business as
Authorized official Blasse, Brandon
Entity Organization
Organization subpart 1 No
Enumeration date Feb 16th, 2024
Last updated Jun 12th, 2024 - about 5 months 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.

Request for update

Popular Providers