Organization
SKYHAVEN CARE LLC
Active
Organization
SKYHAVEN CARE LLC
Active
Other names
SKYHAVEN CARE
Organization subpart
No
Provider details
NPI number
Authorized official
QAMAR A SCEGO (OWNER)
(480) 277-0283
Entity
Organization
Contact information
Practice address
7348 W ELLIS ST, LAVEEN, AZ 85339-2623
(602) 459-4159
Mailing address
1808 N 32ND ST APT 216, PHOENIX, AZ 85008-3862
(602) 459-4159
Taxonomy
Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
—
—
Other
Enumeration date
12/06/2021
Last updated
08/29/2023
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