Organization
HAVEN POST ACUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD MARTIN (MANAGER)
(909) 882-3316
Entity
Organization
Contact information
Practice address
1311 E DATE ST, SAN BERNARDINO, CA 92404-4233
(909) 882-3316
Mailing address
1311 E DATE ST, SAN BERNARDINO, CA 92404-4233
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
05/18/2022
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