| Havenwood Ii, Llc | |
|
5500 W Bagley Park Rd West Jordan UT 84081-5697 | |
| (435) 586-2500 | |
| Not Available |
| Full Name | Havenwood Ii, Llc |
|---|---|
| Speciality | Counselor |
| Location | 5500 W Bagley Park Rd, West Jordan, Utah |
| Authorized Official Name and Position | Nathan Hofeling (OWNER) |
| Authorized Official Contact | 4355862500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Havenwood Ii, Llc 8097 W 2000 S Cedar City UT 84720-4833 Ph: () - | Havenwood Ii, Llc 5500 W Bagley Park Rd West Jordan UT 84081-5697 Ph: (435) 586-2500 |
| NPI Number | 1366314429 |
|---|---|
| Provider Enumeration Date | 09/19/2025 |
| Last Update Date | 09/19/2025 |
| Certification Date | 09/18/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366314429 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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