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Organization
GREENHEAVEN BOARDING HOME LLC
Active
Organization
GREENHEAVEN BOARDING HOME LLC
Active
Other names
Greenheaven Boarding Home, Greenheaven Community Home
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN K MAINA RN (CEO)
(214) 695-2894
Entity
Organization
Contact information
Practice address
3444 OAK CREEK CIR, DALLAS, TX 75227-5637
(214) 695-2894
Mailing address
2335 ASPEN HILL DR, FORNEY, TX 75126-3942
(214) 695-2894
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
04/10/2026
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