Organization · Type 2 NPI

Hatch Haven, LLC

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Snowflake, AZ

NPI number 1962288670 Active

Practice location

697 S Main St
Snowflake, AZ 85937-5556

Call (480) 815-6490 Map

Fax (480) 393-1898

Mailing address

1009 E Gail Dr
Gilbert, AZ 85296-9779

Other practice locations

1009 E Gail Dr, Gilbert, AZ 85296-9779 · (480) 815-6490

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	None listed

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

NPI record

NPI: 1962288670
Entity type: Organization (Type 2)
Issued: Sep 7, 2023
Last updated: Sep 17, 2023
Status: Active
Subpart: Yes of Hatch Haven, LLC

Other names

<unavail>
Snowflake Main Home · other name
Snowflake Main Home · other name

Authorized official

Mr. Steven Lee Norbut
Manager
(480) 815-6490

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About NPI 1962288670

Hatch Haven, LLC's National Provider Identifier is 1962288670, issued on Sep 7, 2023. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Snowflake, AZ. The record was last updated on Sep 17, 2023.