Organization
HAYVEN HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY MIKITARIAN RN (CFO)
(818) 812-5688
Entity
Organization
Contact information
Practice address
16243 CHASE ST, NORTH HILLS, CA 91343-6203
(818) 812-5688
(818) 208-4270
Mailing address
16243 CHASE ST, NORTH HILLS, CA 91343-6203
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/06/2021
Last updated
10/17/2024
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