# SOUTHHAVEN ENTERPRISES, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southaven Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235237462
- **Authorized official:** MRS. DEE BATES (OWNER)
- **Authorized official phone:** (940) 864-3619

## Contact information

- **Practice address:** 5300 HOUSTON SCHOOL RD, DALLAS, TX 75241-1219
- **Practice address phone:** (214) 372-1496
- **Practice address fax:** (214) 374-7333
- **Mailing address:** 5300 HOUSTON SCHOOL RD, DALLAS, TX 75241-1219
- **Mailing address phone:** (214) 372-1496
- **Mailing address fax:** (214) 374-7333

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 4917 | TX | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 10/07/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001012292 | — | TX |