Organization
SOVEREIGN HAVEN ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIA A. LAND (ADMINISTRATOR)
(888) 651-9991
Entity
Organization
Contact information
Practice address
13436 W BERRIDGE LN, LITCHFIELD PARK, AZ 85340-8323
(888) 651-9991
Mailing address
13436 W BERRIDGE LN, LITCHFIELD PARK, AZ 85340-8323
(888) 651-9991
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
L14634518
AZ
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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