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Organization
HAVEN'S PEDIATRIC LLC
Active
Organization
HAVEN'S PEDIATRIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RFANYU DAISY TALLA AYUK MANYANG (RN)
(832) 406-5720
Entity
Organization
Contact information
Practice address
2111 CASTLE GARDENS LN, KATY, TX 77449-1739
(832) 406-5720
Mailing address
2111 CASTLE GARDENS LN, KATY, TX 77449-1739
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
06/24/2020
Last updated
08/14/2026
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