Organization
ROCK HAVEN NURSING HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CECIL WAYNE HOPSON (CEO/ADMINISTRATOR)
(936) 569-9411
Entity
Organization
Contact information
Practice address
401 SE STALLINGS DR, NACOGDOCHES, TX 75964-7204
(936) 569-9411
(936) 569-6511
Mailing address
401 SE STALLINGS DR, NACOGDOCHES, TX 75964-7204
(936) 569-6511
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
117889
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4953
—
TX
Enumeration date
08/15/2006
Last updated
08/22/2020
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