Mind Haven Pllc

NPI #1780370544 in Lavon, Texas

Provider Information

NPI Number
1780370544
Entity Type
Organization
Organization Name
Mind Haven Pllc
Primary Specialty
Home Health
Enumeration Date
Apr 14, 2023
Last Updated
Jul 28, 2023

Practice Location

Address
479 COOLIDGE LN
City
Lavon
State
Texas
ZIP Code
75166-1694
Phone
(414) 520-7156

Authorized Official

Name
MS. IESHIA KIMBLE, APRN-BC
Title
OWNER
Phone
(414) 520-7156

Specialties & Taxonomy Codes

Specialty
Home Health

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