Daisy Haven LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Palm Harbor, FL. Organization (NPI-2).
NPI number1265362016
StatusActive
Last updated in NPPESMay 22, 2026
Details
- NPI
- 1265362016
- Entity type
- Organization (NPI-2)
- Legal business name
- Daisy Haven LLC
- Organization subpart
- No
- Enumeration date
- May 22, 2026
- Certification date
- May 22, 2026
- Last updated
- May 22, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | Yes |
Practice location
3538 Ridge BlvdPalm Harbor, FL 34684-3556
Phone 609-501-5589
Mailing address
3538 Ridge BlvdPalm Harbor, FL 34684-3556
Phone 609-501-5589
Authorized official
Luisito Ago
Owner
6095015589
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