Organization
SAFE HAVEN RESIDENTIAL FACILITIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA STOVALL (CEO)
(909) 466-9973
Entity
Organization
Contact information
Practice address
8325 HAVEN AVE STE 203, RANCHO CUCAMONGA, CA 91730-3894
(909) 466-9973
Mailing address
8325 HAVEN AVE STE 203, RANCHO CUCAMONGA, CA 91730-3894
(909) 466-9973
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
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