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Southhaven Enterprises, Llc
Nursing Facility/Intermediate Care Facility in Dallas, Texas
NPI 1235237462

Southhaven Enterprises, Llc is a Nursing Facility/Intermediate Care Facility based in Dallas, TX. Southhaven Enterprises, Llc practices in Dallas, TX. The NPI Number for Southhaven Enterprises, Llc is 1235237462 and holds a License No. 4917 (Texas).

The current practice location address for Southhaven Enterprises, Llc is 5300 Houston School Rd, Dallas, TX and can be reached out via phone at 214-372-1496 and via fax at 214-374-7333.

Location: 5300 Houston School Rd, Dallas, TX, 75241-1219
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235237462
Provider Name
Southhaven Enterprises, Llc
Credential
Provider Entity Type
Organization
Address
5300 Houston School Rd, Dallas, TX, 75241-1219
Phone Number
214-372-1496
Fax Number
214-374-7333
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001012292 05 TX
institution
Provider Business Practice Location Address Details
Address
5300 Houston School Rd
City
Dallas
State
Texas
Zip
75241-1219
Phone Number
214-372-1496
Fax Number
214-374-7333
person
Provider Business Mailing Address Details
Address
5300 Houston School Rd
City
Dallas
State
Texas
Zip
75241-1219
Phone Number
214-372-1496
Fax Number
214-374-7333
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Nursing Facility/Intermediate Care Facility
Speciality
-
Taxonomy
313M00000X
License No.
4917 (Texas)
Definition
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.
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