Haven Manor LLC

NPI #1255170858 in Surprise, Arizona

Provider Information

NPI Number: 1255170858
Entity Type: Organization
Organization Name: Haven Manor LLC
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: May 22, 2024
Last Updated: May 22, 2024

Practice Location

Address: 13594 W POST DR
City: Surprise
State: Arizona
ZIP Code: 85374-5405
Phone: (623) 203-0771

Authorized Official

Name: VIRGINIA NGANGA, LPN
Title: OPERATIONS MANAGER
Phone: (623) 203-0771

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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