Organization
HAVEN CREST CONGREGATE LIVING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GURPREET KOCHHAR (OWNER)
(909) 347-4777
Entity
Organization
Contact information
Practice address
9150 BOXWOOD AVE, FONTANA, CA 92335-5009
(909) 347-4777
Mailing address
3543 E DELIGHT PASEO, ONTARIO, CA 91761-4184
(909) 347-4777
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
09/10/2025
Last updated
09/11/2025
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