# FRIENDSHIP HAVEN NURSING CENTERS LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609879402
- **Authorized official:** MR. RALEIGH LEE (ADMINISTRATOR)
- **Authorized official phone:** (281) 992-4300

## Contact information

- **Practice address:** 1500 SUNSET DR, FRIENDSWOOD, TX 77546-4724
- **Practice address phone:** (281) 992-4300
- **Practice address fax:** (281) 992-0816
- **Mailing address:** 1500 SUNSET DR, FRIENDSWOOD, TX 77546-4724
- **Mailing address phone:** (281) 992-4300
- **Mailing address fax:** (281) 992-0816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 110078 | TX | Yes |

## Other

- **Enumeration date:** 05/24/2005
- **Last updated:** 07/28/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000428606 | — | TX |
| 05 | — | 167937501 | — | TX |
| 01 | — | HH081S | BLUE CROSS/BLUE SHIELD | TX |