NPI Details | |
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NPI | 1447657994 |
Enumeration Date | 11/28/2014 |
Last Updated | 09/21/2015 |
Entity Type | Healthcare Provider |
Active | Over 3 years ago |
Authorized Information | |
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Name | BRETT BRETT |
Position | CEO |
Phone | (801) 296-5100 |
Fax |
Practice Location | |
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3401 LOCKWOOD DR LAKESIDE AZ, 85929-5613, US |
|
Phone | (801) 296-5100 |
Fax |
Business Location | |
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3401 LOCKWOOD DR LAKESIDE AZ, 85929-5613, US |
|
Phone | (801) 296-5100 |
Fax |
Toxanomy | |
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Taxonomy Code | 314000000X |
License State | |
License Number | |
Remove 1447657994 NPI Number |
According to our database, Haven Of Lakeside Llc NPI is 1447657994, taxonomy code is 314000000X Haven Of Lakeside Llc physically located at 3401 Lockwood Dr, Lakeside AZ, 85929-5613. NPI Number 1033115704 has the healthcare provider type.
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1447657994 NPI number is provided on an as is basis without warranty of any kind. 1447657994 is maintained by the National Plan & Provider Enumeration System. The contents of Haven Of Lakeside Llc are for informational purposes only.
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