Haven Of Douglas, Llc

NPI 1073850319 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1073850319
Enumeration Date 01/07/2013
Last Updated 05/29/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BRETT P BRETT
Position PRESIDENT
Phone (520) 364-7937
Fax (520) 805-9146
Practice Location
1400 N SAN ANTONIO AVE
DOUGLAS AZ, 85607-2434, US
Phone (520) 364-7937
Fax (520) 805-9146
Business Location
1400 N SAN ANTONIO AVE
DOUGLAS AZ, 85607-2434, US
Phone (520) 364-7937
Fax (520) 805-9146
Toxanomy
Taxonomy Code 314000000X
License State Arizona
License Number NCI-2708
Remove 1073850319 NPI Number
 

According to our database, Haven Of Douglas, Llc NPI is 1073850319, taxonomy code is 314000000X and license number is NCI-2708, license state is located at Arizona. Haven Of Douglas, Llc physically located at 1400 N San Antonio Ave, Douglas AZ, 85607-2434. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1073850319 NPI number is provided on an as is basis without warranty of any kind. 1073850319 is maintained by the National Plan & Provider Enumeration System. The contents of Haven Of Douglas, Llc are for informational purposes only.