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DREAM HAVEN EXTENSIONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DREAM HAVEN EXTENSIONS (MANAGER)
(214) 635-6412
Entity
Organization

Contact information

Practice address
4500 MERCANTILE PLAZA DR # 17147172, FORT WORTH, TX 76137-4225
(214) 635-6412
Mailing address
4500 MERCANTILE PLAZA DR # 17147172, FORT WORTH, TX 76137-4225
(214) 635-6412

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
05/05/2026
Last updated
05/05/2026
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