HAVEN OF COTTONWOOD, LLC
Nursing at Willard St, Cottonwood, AZ

License number
Arizona NCI-2707
Category
Nursing
Type
Skilled Nursing Facility
Owner
Name: BRETT P ROBERTSON
Title: PRESIDENT
Phone: (801) 296-5100
Address
Address
197 S Willard St, Cottonwood, AZ 86326
National Provider ID: 1679810915
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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HAVEN OF COTTONWOOD, LLC

197 S Willard St, Cottonwood, AZ 86326

Industry:
Nursing/Personal Care
Doing business as:
Haven Of Cottonwood
Registration:
Nov 20, 2012
Phone:
(928) 649-2188 (Phone), (928) 634-9602 (Fax)
State ID:
L-1804940-7
Expiration:
PERPETUAL
Assistant Directors:
Haven Health Group Arizona Llc (Manager), 450 S 400 E STE 200, Bountiful, UT 84010 (Physical),Dan Furlone (Physical Therapy Director),Alex Lives (Office Manager),...
Agent:
Paracorp Incorporated,300 W Clarendon Ave #230, Phoenix, AZ 85013 (Physical)
Categories:
Medical Services, Rehabilitation Services

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