# HAVEN MANOR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** BARRETT PRODY
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477867299
- **Authorized official:** CATHY A BELLMORE (MANAGER)
- **Authorized official phone:** (218) 739-2799

## Contact information

- **Practice address:** 419 E SAINT CHARLES AVE, FERGUS FALLS, MN 56537-3616
- **Practice address phone:** (218) 739-2799
- **Mailing address:** 419 E SAINT CHARLES AVE, FERGUS FALLS, MN 56537-3616
- **Mailing address phone:** (218) 739-2799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 1058161-1-AFC | MN | Yes |

## Other

- **Enumeration date:** 08/04/2010
- **Last updated:** 08/04/2010