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Organization
VILLA HAVEN HEALTH & REHABILITATION CENTER
Active
Organization
VILLA HAVEN HEALTH & REHABILITATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN LAKE DEGRAND SNF ADMINISTRATOR (ADMINISTRATOR)
(254) 559-3386
Entity
Organization
Contact information
Practice address
300 S JACKSON ST, BRECKENRIDGE, TX 76424-4804
(254) 559-3386
(254) 559-7259
Mailing address
300 S JACKSON ST, BRECKENRIDGE, TX 76424-4804
(254) 559-3386
(254) 559-7259
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
004773
TX
Other
Enumeration date
08/24/2005
Last updated
08/22/2020
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