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Organization
MANNA HAVEN CARE SERVICES
Active
Organization
MANNA HAVEN CARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA JEAN IHUA-MADUENYI RN, BSN (CO-OWNER)
(817) 681-2226
Entity
Organization
Contact information
Practice address
501 MATADOR ST, BURKBURNETT, TX 76354-2218
(817) 681-2226
(940) 568-9294
Mailing address
501 MATADOR ST, BURKBURNETT, TX 76354-2218
(817) 681-2226
(940) 568-9294
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
010490
TX
Other
Enumeration date
06/08/2006
Last updated
02/10/2012
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