Haven Of Lakeside Llc

NPI 1447657994 - Skilled Nursing Facility - 314000000X

NPI Details
NPI 1447657994
Enumeration Date 11/28/2014
Last Updated 09/21/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name BRETT BRETT
Position CEO
Phone (801) 296-5100
Fax
Practice Location
3401 LOCKWOOD DR
LAKESIDE AZ, 85929-5613, US
Phone (801) 296-5100
Fax
Business Location
3401 LOCKWOOD DR
LAKESIDE AZ, 85929-5613, US
Phone (801) 296-5100
Fax
Toxanomy
Taxonomy Code 314000000X
License State
License Number
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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.