# HAVENBROOK LLC

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

## Provider details

- **NPI number:** 1912644915
- **Authorized official:** SUZZANNE HADLEY OWNER (OWNER)
- **Authorized official phone:** (801) 644-4706

## Contact information

- **Practice address:** 7711 FOREDAWN DR, LAS VEGAS, NV 89123-0756
- **Practice address phone:** (801) 644-4706
- **Practice address fax:** (702) 463-7169
- **Mailing address:** 1100 FAIRBURY ST, HENDERSON, NV 89052-4390
- **Mailing address phone:** (801) 644-4706

## Taxonomy

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

## Other

- **Enumeration date:** 05/19/2022
- **Last updated:** 05/19/2022