# HAVEN OF COTTONWOOD, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HAVEN HEALTH GROUP LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679810915
- **Legal business name:** HAVEN HEALTH GROUP LLC
- **Authorized official:** BRETT P ROBERTSON (PRESIDENT)
- **Authorized official phone:** (480) 935-4300

## Contact information

- **Practice address:** 197 S WILLARD ST, COTTONWOOD, AZ 86326-4123
- **Practice address phone:** (928) 634-5548
- **Practice address fax:** (928) 634-9602
- **Mailing address:** 197 S WILLARD ST, COTTONWOOD, AZ 86326-4123
- **Mailing address phone:** (928) 634-5548
- **Mailing address fax:** (928) 634-9602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NCI-2707 | AZ | Yes |
| 314000000X | Skilled Nursing Facility | — | NULL | — |

## Other

- **Enumeration date:** 01/07/2013
- **Last updated:** 05/22/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 813280 | — | AZ |