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 5 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
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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.

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.