# HAVEN POST ACUTE LLC

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

## Provider details

- **NPI number:** 1629653720
- **Authorized official:** RICHARD MARTIN (MANAGER)
- **Authorized official phone:** (909) 882-3316

## Contact information

- **Practice address:** 1311 E DATE ST, SAN BERNARDINO, CA 92404-4233
- **Practice address phone:** (909) 882-3316
- **Mailing address:** 1311 E DATE ST, SAN BERNARDINO, CA 92404-4233

## Taxonomy

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

## Other

- **Enumeration date:** 03/10/2021
- **Last updated:** 05/18/2022