Organization
HAVEN HAUS II INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DETRA L JACKSON (PRESIDENT)
(305) 988-7335
Entity
Organization
Contact information
Practice address
7538 BUFORD DR, DALLAS, TX 75241-5408
(305) 988-7335
Mailing address
7538 BUFORD DR, DALLAS, TX 75241-5408
(305) 988-7335
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
—
—
224ZF0002X
Feeding, Eating & Swallowing Occupational Therapy Assistant
—
—
225XM0800X
Mental Health Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
2278H0200X
Home Health Certified Respiratory Therapist
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
311ZA0620X
Adult Care Home Facility
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
347C00000X
Private Vehicle
—
—
363LC1500X
Community Health Nurse Practitioner
—
—
372600000X
Adult Companion
—
—
3747P1801X
Personal Care Attendant
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
Other
Enumeration date
04/17/2026
Last updated
04/20/2026
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