Organization
NORTH HAVEN ASSISTED LIVING HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORENA CRACIUN (OWNER)
(602) 919-9201
Entity
Organization
Contact information
Practice address
3943 E LUPINE AVE, PHOENIX, AZ 85028-2128
(602) 919-9201
(602) 607-5791
Mailing address
3943 E LUPINE AVE, PHOENIX, AZ 85028-2128
(602) 919-9201
(602) 607-5791
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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