Organization
JEFF D MILLER LLC
Active
Other names
Rock Haven Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFF D MILLER (MEMBER)
(903) 571-3872
Entity
Organization
Contact information
Practice address
401 SE STALLINGS DR, NACOGDOCHES, TX 75964-7204
(936) 569-9411
(936) 569-6511
Mailing address
10509 COUNTY ROAD 456 S, HENDERSON, TX 75654-6257
(903) 571-3872
(903) 854-4703
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
004953
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004953
—
TX
Enumeration date
04/23/2013
Last updated
11/04/2013
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