Country Haven Assisted Living, Inc.

NPI 1073677951 - Assisted Living Facility - 310400000X

NPI Details
NPI 1073677951
Enumeration Date 12/21/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JUANITA M. JUANITA
Position PRESIDENT
Phone (972) 524-9884
Fax (972) 524-9884
Practice Location
13812 HIRAM RD
WILLS POINT TX, 75169-8652, US
Phone (972) 524-9884
Fax (972) 524-9884
Business Location
13812 HIRAM RD
WILLS POINT TX, 75169-8652, US
Phone (972) 524-9884
Fax (972) 524-9884
Toxanomy
Taxonomy Code 310400000X
License State Texas
License Number 119106
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According to our database, Country Haven Assisted Living, Inc. NPI is 1073677951, taxonomy code is 310400000X and license number is 119106, license state is located at Texas. Country Haven Assisted Living, Inc. physically located at 13812 Hiram Rd, Wills Point TX, 75169-8652. NPI Number 1033115704 has the healthcare provider type.

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1073677951 NPI number is provided on an as is basis without warranty of any kind. 1073677951 is maintained by the National Plan & Provider Enumeration System. The contents of Country Haven Assisted Living, Inc. are for informational purposes only.