Organization
HAVEN OF SHOW LOW ALF LLC
Active
Organization
HAVEN OF SHOW LOW ALF LLC
Active
Other names
Haven of Show Low ALF
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRETT ROBERTSON (CEO)
(801) 296-5100
Entity
Organization
Contact information
Practice address
2401 E HUNT DR, SHOW LOW, AZ 85901-7920
(928) 537-5333
Mailing address
2401 E HUNT DR, SHOW LOW, AZ 85901-7920
(928) 537-5333
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
463487
—
AZ
Enumeration date
02/19/2018
Last updated
01/23/2020
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