Organization
TECH CAPITAL SOURCE LLC
Active
Other names
Blue Haven Homes
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF GLOVER (OWNER)
(480) 331-1088
Entity
Organization
Contact information
Practice address
5977 E 18TH AVE, APACHE JUNCTION, AZ 85119-7703
(480) 800-7027
Mailing address
5977 E 18TH AVE, APACHE JUNCTION, AZ 85119-7703
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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