NPI 1235237462

Southhaven Enterprises, LLC

Organisation Nursing Facility/Intermediate Care Facility Dallas, TX

Practice location

Address: 5300 Houston School Rd, Dallas, TX 75241-1219
Phone: (214) 372-1496
Fax: (214) 374-7333

Authorised official

Name: Dee Bates
Title: Owner
Phone: (940) 864-3619

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 4917 (TX)

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Registry record

NPI: 1235237462
Entity type: Organization
NPI issued: 20 Sep 2006
Record last updated: 7 Oct 2008

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.