Whalio Doctors

NPI 1063978211

Beautiful Haven LLC

Organisation Assisted Living Facility Laveen, AZ

Practice location

Address
4804 W St Kateri Dr, Laveen, AZ 85339-8202
Phone
(602) 831-8280

Authorised official

Name
Tesfaye Tesema
Title
Member
Phone
(602) 831-8280

Registered specialties

Assisted Living Facility Primary
Nursing & Custodial Care Facilities Taxonomy 310400000X

Registry record

NPI
1063978211
Entity type
Organization
NPI issued
13 Feb 2019
Record last updated
30 May 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.