Brooke Haven Care Home LLC

NPI #1417440488 in Fort Worth, Texas

Provider Information

NPI Number: 1417440488
Entity Type: Organization
Organization Name: Brooke Haven Care Home LLC
Primary Specialty: Specialist
Enumeration Date: Jun 13, 2018
Last Updated: Jul 21, 2022

Practice Location

Address: 1540 BERCKMANS RD
City: Fort Worth
State: Texas
ZIP Code: 76120-1500
Phone: (817) 308-1806

Authorized Official

Name: MR. TYRIN HOLT
Title: SPECIALIST
Phone: (817) 308-1806

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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