# JEFF D MILLER LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rock Haven Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679917546
- **Authorized official:** MR. JEFF D MILLER (MEMBER)
- **Authorized official phone:** (903) 571-3872

## Contact information

- **Practice address:** 401 SE STALLINGS DR, NACOGDOCHES, TX 75964-7204
- **Practice address phone:** (936) 569-9411
- **Practice address fax:** (936) 569-6511
- **Mailing address:** 10509 COUNTY ROAD 456 S, HENDERSON, TX 75654-6257
- **Mailing address phone:** (903) 571-3872
- **Mailing address fax:** (903) 854-4703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 004953 | TX | Yes |

## Other

- **Enumeration date:** 04/23/2013
- **Last updated:** 11/04/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004953 | — | TX |