Organization
BEL HAVEN CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RUSSELL N MILNES (ADMINISTRATOR)
(559) 486-5977
Entity
Organization
Contact information
Practice address
2020 N WEBER AVE, FRESNO, CA 93705-4313
(559) 486-5977
(559) 486-5909
Mailing address
2020 N WEBER AVE, FRESNO, CA 93705-4313
(559) 486-5977
(559) 486-5909
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
107203325
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107203325
COMMUNITY CARE LICENSING
CA
Enumeration date
02/18/2010
Last updated
02/18/2010
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