OrganizationActive
Heavenly Haven
NPI 1861515009 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Baton Rouge, LA
Provider details
- NPI number
- 1861515009
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Dorothy Nelson, Ceo(225) 357-5126
- License
- 7259 (LA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense 7259 (LA)
Residential Treatment Facilities
Practice location
4824 E Brookstown Dr
Baton Rouge, LA 70805-3823
Phone: (225) 357-7206
Fax: (225) 357-6424
Approximate (ZIP-level) locationGet directions
Mailing address
4824 E Brookstown Dr
Baton Rouge, LA 70805-3823
Registry dates
- Enumerated
- 2007-04-10
- Last updated
- 2008-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.