Beautiful Haven LLC

Organization Active NPI Assisted Living Facility · Laveen, AZ

NPI 1063978211 · NPPES record last updated May 30, 2024

Key facts

NPI
1063978211
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
BEAUTIFUL HAVEN LLC
Practice address
4804 W St Kateri Dr
Laveen, AZ 85339-8202
Phone
(602) 831-8280
NPI assigned
Feb 13, 2019
Organization subpart
No

Authorized official

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

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Yes

Addresses

Primary practice location

4804 W St Kateri Dr
Laveen, AZ 85339-8202

Mailing address

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

Other providers in Laveen, AZ

All providers in Laveen, AZ · Assisted Living Facility in Arizona

Sources for this page

Verify at the official NPI Registry.