Organization
HEATH CAROTEX LLC
Active
Other names
RIVER HAVEN NURSING AND REHABILITATION CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DAVID HEATH SR. (MEMBER)
(512) 863-5521
Entity
Organization
Contact information
Practice address
903 RIVERHAVEN DR, GEORGETOWN, TX 78626-4347
(512) 863-5521
(512) 869-6271
Mailing address
903 RIVERHAVEN DR, GEORGETOWN, TX 78626-4347
(512) 863-5521
(512) 869-6271
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
117317
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004507
—
TX
01
—
HH410S
BLUE CROSS BLUE SHIELD PR
TX
Enumeration date
10/05/2006
Last updated
08/22/2020
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