Organization
GREEN HAVEN GROUP HOME
Active
Other names
Green Haven Group Home
Organization subpart
No
Provider details
NPI number
Authorized official
ALI ADEM (MANAGER)
(408) 561-2324
Entity
Organization
Contact information
Practice address
3111 CREEKWOOD DR, WYLIE, TX 75098-7339
(408) 561-2324
Mailing address
3111 CREEKWOOD DR, WYLIE, TX 75098-7339
(408) 561-2324
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/09/2023
Last updated
08/09/2023
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