Organization
HAVEN HAUS II INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DETRA L JACKSON (PRESIDENT)
(305) 988-7335
Entity
Organization
Contact information
Practice address
7538 BUFORD DR, DALLAS, TX 75241-5408
(305) 988-7335
Mailing address
1910 PACIFIC AVE STE 20001046, DALLAS, TX 75201-4529
(305) 988-7335
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
163WW0000X
Wound Care Registered Nurse
—
—
164X00000X
Licensed Vocational Nurse
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
251J00000X
Nursing Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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