NPI 1063978211
Beautiful Haven LLC
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
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.