Organization
BARBARA'S HAVEN LLC
Active
Other names
Golden Years Community Living
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA L WHITE (OWNER)
(682) 221-3568
Entity
Organization
Contact information
Practice address
151 CHATEAU DR, FORT WORTH, TX 76134-4603
(682) 221-3568
Mailing address
4421 STONE MOUNTAIN DR, FORT WORTH, TX 76123-1885
(682) 221-3568
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/05/2024
Last updated
05/03/2024
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