Organization
UNICORN HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBORA HLADEK (CEO)
(602) 909-3223
Entity
Organization
Contact information
Practice address
1445 E GUADALUPE RD STE 109, TEMPE, AZ 85283-3953
(602) 909-3223
Mailing address
1445 E GUADALUPE RD STE 109, TEMPE, AZ 85283-3953
(602) 909-3223
Taxonomy
Speciality
Code
Description
License number
State
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
465505
AHCCCS
—
Enumeration date
02/27/2019
Last updated
02/27/2019
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