Organization
HAVENBROOK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZZANNE HADLEY OWNER (OWNER)
(801) 644-4706
Entity
Organization
Contact information
Practice address
7711 FOREDAWN DR, LAS VEGAS, NV 89123-0756
(801) 644-4706
(702) 463-7169
Mailing address
1100 FAIRBURY ST, HENDERSON, NV 89052-4390
(801) 644-4706
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
05/19/2022
Last updated
05/19/2022
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