HO
HAVEN OF DOUGLAS, LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
DOUGLAS, AZ
Licensed since
2013
Rate
—
Federal compliance record
Total fines$0
Payment denials / penalties0
Abuse flagNone on record
Federal identifiers
NPI registry number1073850319
CMS Certification Number (CCN)035180
Agency details
Avg residents / day53.6
OwnershipFor profit - Limited Liability company
Chain affiliationHAVEN HEALTH
Parent orgHAVEN HEALTH GROUP ARIZONA, LLC
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameBRETT ROBERTSON
TitlePRESIDENT
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