| NPI | 1780451286 |
|---|---|
| Doing Business As | COMMUNITY HAVEN FACILITY |
| Entity Type | Organization |
| Authorized Contact | EDWIN EVANGELISTA Administrator 626-290-4772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-06 |