| NPI | 1619665247 |
|---|---|
| Doing Business As | HAVEN CARE |
| Entity Type | Organization |
| Authorized Contact | TIMOTHY LOPEZ Managing Member 505-249-8282 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2023-05-01 |