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Organization
HAVEN OF COTTONWOOD, LLC
Active
Organization
HAVEN OF COTTONWOOD, LLC
Active
Parent organization
HAVEN HEALTH GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAVEN HEALTH GROUP LLC
Authorized official
BRETT P ROBERTSON (PRESIDENT)
(480) 935-4300
Entity
Organization
Contact information
Practice address
197 S WILLARD ST, COTTONWOOD, AZ 86326-4123
(928) 634-5548
(928) 634-9602
Mailing address
197 S WILLARD ST, COTTONWOOD, AZ 86326-4123
(928) 634-5548
(928) 634-9602
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI-2707
AZ
314000000X
Skilled Nursing Facility
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
813280
—
AZ
Enumeration date
01/07/2013
Last updated
05/22/2025
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