Organization
HEALING HAVEN HOMES AT LAKE COUNTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MABEL WIBA NIKOI (ADMINISTRATOR)
(703) 554-7829
Entity
Organization
Contact information
Practice address
7505 LOCHWOOD CT, FORT WORTH, TX 76179-3137
(703) 554-7829
(469) 397-0779
Mailing address
7505 LOCHWOOD CT, FORT WORTH, TX 76179-3137
(703) 554-7829
(469) 397-0779
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/16/2025
Last updated
12/16/2025
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