Organization
HEALING HAVEN HOMES LLC
Active
Other names
Healing Haven Homes
Organization subpart
No
Provider details
NPI number
Authorized official
MABEL NIKOI LNFA (OWNER/ADMINISTRATOR)
(703) 554-7829
Entity
Organization
Contact information
Practice address
1344 GRAND TETON DR, DESOTO, TX 75115-2939
(469) 397-0778
(469) 397-0779
Mailing address
1344 GRAND TETON DR, DESOTO, TX 75115-2939
(469) 397-0778
(469) 397-0779
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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