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Organization
PARK HAVEN NURSING AND REHABILITATION, L.P.
Active
Organization
PARK HAVEN NURSING AND REHABILITATION, L.P.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL A RICH (PRESIDENT)
(940) 387-4388
Entity
Organization
Contact information
Practice address
3500 PARK ST, GREENVILLE, TX 75401-5159
(903) 455-2220
(903) 455-0343
Mailing address
401 N ELM ST, DENTON, TX 76201-4137
(940) 387-4388
(940) 380-2410
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
109686
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004402
—
TX
01
—
156542601
TMHP(CROSS OVER)
TX
Enumeration date
09/27/2005
Last updated
03/21/2012
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