# GRACE HAVEN CONGREGATE LIVING FACILITY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033031844
- **Authorized official:** BEN ARNOLD ADOM DNP (CEO)
- **Authorized official phone:** (817) 517-8748

## Contact information

- **Practice address:** 117 TEMPLE AVE, BEAUMONT, CA 92223-3154
- **Practice address phone:** (817) 517-8748
- **Mailing address:** 117 TEMPLE AVE, BEAUMONT, CA 92223-3154
- **Mailing address phone:** (817) 517-8748

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2026
- **Last updated:** 07/27/2026