Organization
BEL HAVEN CARE INC
Active
Other names
BEL HAVEN CARE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT COURTNEY (PRESIDENT)
(916) 768-1128
Entity
Organization
Contact information
Practice address
2020 N WEBER AVE, FRESNO, CA 93705-4313
(559) 486-5977
(559) 486-5909
Mailing address
69 LINCOLN BLVD # 239, LINCOLN, CA 95648-6303
(916) 768-1128
(916) 585-9149
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
107202480
CA
311500000X
Alzheimer Center (Dementia Center)
107202480
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107202480
DEPT SOCIAL SERVICES - COMMUNITY CARE LICENSING
CA
Enumeration date
03/01/2012
Last updated
04/25/2013
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