# DESERT HAVEN ADULT CARE HOME LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528359544
- **Authorized official:** MRS. HOLLY CATHERINE REINARD LICENSED MANAGER (OWNER/MANAGER)
- **Authorized official phone:** (520) 306-6931

## Contact information

- **Practice address:** 9681 E BRIANA LN, TUCSON, AZ 85748-7405
- **Practice address phone:** (520) 306-6931
- **Practice address fax:** (520) 885-4976
- **Mailing address:** 8925 E 5TH ST, TUCSON, AZ 85710-3041
- **Mailing address phone:** (520) 306-6931
- **Mailing address fax:** (520) 885-4976

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | AL8124H | AZ | Yes |
| 311ZA0620X | Adult Care Home Facility | AL8238H | AZ | — |

## Other

- **Enumeration date:** 04/25/2011
- **Last updated:** 04/25/2011