Organization
SOUTHHAVEN ENTERPRISES, LLC
Active
Other names
Southaven Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEE BATES (OWNER)
(940) 864-3619
Entity
Organization
Contact information
Practice address
5300 HOUSTON SCHOOL RD, DALLAS, TX 75241-1219
(214) 372-1496
(214) 374-7333
Mailing address
5300 HOUSTON SCHOOL RD, DALLAS, TX 75241-1219
(214) 372-1496
(214) 374-7333
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
4917
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001012292
—
TX
Enumeration date
09/20/2006
Last updated
10/07/2008
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