The Haven Home

NPI 1265845499 - Health Maintenance Organization - 302R00000X

NPI Details
NPI 1265845499
Enumeration Date 06/05/2014
Last Updated 06/05/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SCHNIKWA LAS SCHNIKWA
Position OWNER
Phone (972) 803-5605
Fax (972) 803-5605
Practice Location
1216 HOLT AVE
DESOTO TX, 75115-3110, US
Phone (972) 803-5605
Fax (972) 803-5605
Business Location
1216 HOLT AVE
DESOTO TX, 75115-3110, US
Phone (972) 803-5605
Fax (972) 803-5605
Toxanomy
Taxonomy Code 302R00000X
License State Texas
License Number 139524
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According to our database, The Haven Home NPI is 1265845499, taxonomy code is 302R00000X and license number is 139524, license state is located at Texas. The Haven Home physically located at 1216 Holt Ave, Desoto TX, 75115-3110. NPI Number 1033115704 has the healthcare provider type.

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1265845499 NPI number is provided on an as is basis without warranty of any kind. 1265845499 is maintained by the National Plan & Provider Enumeration System. The contents of The Haven Home are for informational purposes only.