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General NPI Number Information
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NPI Number | 1326911249
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Entity Type | Organization
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Legal Business Name | WILLOW HAVEN HEALTH AND REHAB LLC
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Dates
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Enumeration Date | 09/26/2025
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 5538 DUNCAN DR
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City | LAS VEGAS
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State | NV
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Zip | 89130-2812
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Country | US
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Telephone | 702-645-2606
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Fax |
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Provider Business Mailing Address
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Address Line | 947 S 500 E STE 105
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City | AMERICAN FORK
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State | UT
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Zip | 84003-3392
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Country | US
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Telephone | 801-360-8804
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Fax |
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Authorized Official
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Title or Position | CORPORATE BUSINESS DIRECTOR
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Name | WENDY ANDERSON
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Credential |
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Telephone | 801-360-8804
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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