Organization
HAVEN OF SHOW LOW, 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
2401 E HUNT DR, SHOW LOW, AZ 85901-7920
(928) 537-5333
(928) 537-1762
Mailing address
2401 E HUNT DR, SHOW LOW, AZ 85901-7920
(928) 537-5333
(928) 537-1762
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI-2704
AZ
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
813272
—
AZ
Enumeration date
01/07/2013
Last updated
05/22/2025
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