Organization
HAVEN MANOR LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA NGANGA LPN (OPERATIONS MANAGER)
(623) 203-0771
Entity
Organization
Contact information
Practice address
13594 W POST DR, SURPRISE, AZ 85374-5405
(623) 203-0771
Mailing address
13594 W POST DR, SURPRISE, AZ 85374-5405
(623) 203-0771
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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