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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