The Haven Home

NPI #1265845499 in Desoto, Texas

Provider Information

NPI Number
1265845499
Entity Type
Organization
Organization Name
The Haven Home
Primary Specialty
Health Maintenance Organization
Enumeration Date
Jun 5, 2014
Last Updated
Jun 5, 2014

Practice Location

Address
1216 HOLT AVE
City
Desoto
State
Texas
ZIP Code
75115-3110
Phone
(972) 803-5605

Authorized Official

Name
MS. SCHNIKWA LAS HICKS, NA
Title
OWNER
Phone
(469) 734-7674

Specialties & Taxonomy Codes

Specialty
Health Maintenance Organization

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