Organization
HAVEN OF PHOENIX, 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 (CEO)
(480) 935-4300
Entity
Organization
Contact information
Practice address
4202 N 20TH AVE, PHOENIX, AZ 85015-5101
(602) 264-3824
Mailing address
4202 N 20TH AVE, PHOENIX, AZ 85015-5101
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231351
—
AZ
Enumeration date
05/09/2016
Last updated
05/22/2025
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