Organization
FRIENDSHIP HAVEN NURSING CENTERS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RALEIGH LEE (ADMINISTRATOR)
(281) 992-4300
Entity
Organization
Contact information
Practice address
1500 SUNSET DR, FRIENDSWOOD, TX 77546-4724
(281) 992-4300
(281) 992-0816
Mailing address
1500 SUNSET DR, FRIENDSWOOD, TX 77546-4724
(281) 992-4300
(281) 992-0816
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
110078
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000428606
—
TX
05
—
167937501
—
TX
01
—
HH081S
BLUE CROSS/BLUE SHIELD
TX
Enumeration date
05/24/2005
Last updated
07/28/2008
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