Organization
WINTERHAVEN HEALTHCARE RESIDENCE OPERATOR LLC
Active
Other names
Winterhaven Healthcare Residence
Organization subpart
No
Provider details
NPI number
Authorized official
KARIN FALKINBURG (EXECUTIVE ASSISTANT)
(214) 396-3462
Entity
Organization
Contact information
Practice address
6534 STUEBNER AIRLINE RD, HOUSTON, TX 77091-3207
(713) 692-5137
(713) 692-5155
Mailing address
111 CLIFTON AVE, LAKEWOOD, NJ 08701-3342
(214) 396-3462
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001027188
—
TX
01
—
004826
DADS
TX
Enumeration date
08/11/2015
Last updated
06/20/2016
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