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Organization
DESERT HAVEN ADULT CARE HOME LLC
Active
Organization
DESERT HAVEN ADULT CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY CATHERINE REINARD LICENSED MANAGER (OWNER/MANAGER)
(520) 306-6931
Entity
Organization
Contact information
Practice address
9681 E BRIANA LN, TUCSON, AZ 85748-7405
(520) 306-6931
(520) 885-4976
Mailing address
8925 E 5TH ST, TUCSON, AZ 85710-3041
(520) 306-6931
(520) 885-4976
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AL8124H
AZ
311ZA0620X
Adult Care Home Facility
AL8238H
AZ
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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