46D2198127 CLIA NUMBER - HAVEN CREEK PARTNERS, LLC DBA HAVEN CREEK AL BY RMC

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Laboratory Demographics

CLIA Number: 46D2198127

Facility Name: HAVEN CREEK PARTNERS, LLC DBA HAVEN CREEK AL BY RMC

Facility Address:
4607 S MIDLAND DRIVE
WEST HAVEN, UT
ZIP 84401
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Facility Phone Number: 801 397-4697

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1477603652

Taxonomy: 310400000X - Assisted Living Facility
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

CLIA Record

Field Name	Field Value
CLIA Number	46D2198127
LAB Type	Assisted Living Facility
Facility Name	HAVEN CREEK PARTNERS, LLC DBA HAVEN CREEK AL BY RMC
Street	4607 S MIDLAND DRIVE
City	WEST HAVEN
State	UT
ZIP	84401
Phone	801 397-4697
CertificateType	4
CertificateEffectiveDate	10/29/2022
CertificateExpirationDate	10/28/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024