# BELLEVUE HAVEN ADULT FAMILY HOME, INC.

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

## Provider details

- **NPI number:** 1548434418
- **Authorized official:** MRS. NATIVIDAD ALVIZ CORPUZ R.N. (VICE-PRESIDENT/SECRETARY)
- **Authorized official phone:** (206) 372-2563

## Contact information

- **Practice address:** 2202 144TH AVE SE, BELLEVUE, WA 98007-6220
- **Practice address phone:** (425) 223-5740
- **Practice address fax:** (425) 644-2462
- **Mailing address:** 4932 163RD PL SE, BELLEVUE, WA 98006-4733
- **Mailing address phone:** (206) 372-2563
- **Mailing address fax:** (425) 644-2462

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 750002 | WA | Yes |

## Other

- **Enumeration date:** 04/22/2008
- **Last updated:** 04/22/2008