# REST HAVEN MANAGEMENT INC. FOURSEE '4C'

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FourSee '4C', Rest Haven Management Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770007908
- **Authorized official:** ENETRICE RENNE MYERS AS, BBA, MBA (EXECUTOR/BUSINESS OPERATION MANAGER)
- **Authorized official phone:** (317) 919-2923

## Contact information

- **Practice address:** 368015 OLD HIGHWAY 62, BOLEY, OK 74829-2914
- **Practice address phone:** (918) 667-3372
- **Mailing address:** 368015 OLD HIGHWAY 62, BOLEY, OK 74829-2914
- **Mailing address phone:** (918) 667-3372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | OK | Yes |

## Other

- **Enumeration date:** 07/30/2017
- **Last updated:** 07/21/2022