Organization
DESERT HAVEN ADULT CARE HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY CATHERINE REINARD LICENSED MANAGER (OWNER/MANAGER)
(520) 306-6931
Entity
Organization
Contact information
Practice address
9681 E BRIANA LN, TUCSON, AZ 85748-7405
(520) 306-6931
(520) 885-4976
Mailing address
8925 E 5TH ST, TUCSON, AZ 85710-3041
(520) 306-6931
(520) 885-4976
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
AL8124H
AZ
311ZA0620X
Adult Care Home Facility
AL8238H
AZ
Other
Enumeration date
04/25/2011
Last updated
04/25/2011
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