Organization
SRCV HAVEN, LLC
Active
Other names
Desert Haven Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAYSON HUNT (ADMINISTRATOR)
(602) 956-8000
Entity
Organization
Contact information
Practice address
2645 EAST THOMAS ROAD, PHOENIX, AZ 85016-8201
(602) 956-8000
(602) 288-3107
Mailing address
2645 EAST THOMAS ROAD, PHOENIX, AZ 85016-8201
(602) 956-8000
(602) 288-3107
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
NCI2625
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
776487
—
AZ
Enumeration date
09/21/2006
Last updated
05/05/2017
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