| NPI | 1497504211 |
|---|---|
| Doing Business As | KERN BHRS HAVEN COTTAGES |
| Entity Type | Organization |
| Authorized Contact | WILLIE LEE FIELDS Recovery Specialist Ii 661-868-7804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |