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Organization

BEAUTIFUL HAVEN LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
TESFAYE TESEMA (MEMBER)
(602) 831-8280
Entity
Organization

Contact information

Practice address
4804 W ST KATERI DR, LAVEEN, AZ 85339-8202
(602) 831-8280
Mailing address
4804 W ST KATERI DR, LAVEEN, AZ 85339-8202
(602) 831-8280

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
02/13/2019
Last updated
05/30/2024
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