Organization
ELVA'S HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EMMA MOALA (MANAGER)
(808) 498-7092
Entity
Organization
Contact information
Practice address
3487 W COLONY CV, LEHI, UT 84043-4570
(808) 498-7092
Mailing address
3487 W COLONY CV, LEHI, UT 84043-4570
(808) 498-7092
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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