Organization
COMMUNITY HAVEN CORPORATION
Active
Other names
Community Haven Facility
Organization subpart
No
Provider details
NPI number
Authorized official
EDWIN EVANGELISTA (ADMINISTRATOR)
(626) 290-4772
Entity
Organization
Contact information
Practice address
818 E MERCED AVE, WEST COVINA, CA 91790-5223
(626) 918-2991
Mailing address
818 E MERCED AVE, WEST COVINA, CA 91790-5223
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
12/06/2023
Last updated
12/06/2023
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