Organization
HAVEN OF COTTONWOOD, LLC
Active
Parent organization
HAVEN HEALTH GROUP LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAVEN HEALTH GROUP LLC
Authorized official
BRETT P ROBERTSON (PRESIDENT)
(480) 935-4300
Entity
Organization
Contact information
Practice address
197 S WILLARD ST, COTTONWOOD, AZ 86326-4123
(928) 634-5548
(928) 634-9602
Mailing address
197 S WILLARD ST, COTTONWOOD, AZ 86326-4123
(928) 634-5548
(928) 634-9602
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI-2707
AZ
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
813280
—
AZ
Enumeration date
01/07/2013
Last updated
05/22/2025
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