Organization
HAVEN OF CAMP VERDE ALF, LLC
Active
Parent organization
HAVEN HEALTH GROUP ARIZONA, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAVEN HEALTH GROUP ARIZONA, LLC
Authorized official
BRETT P ROBERTSON (PRESIDENT)
(801) 296-5100
Entity
Organization
Contact information
Practice address
86 W SALT MINE RD, CAMP VERDE, AZ 86322-7013
(928) 567-5253
Mailing address
86 W SALT MINE RD, CAMP VERDE, AZ 86322-7013
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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