| NPI | 1174897730 |
|---|---|
| Doing Business As | PARK HAVEN NURSING AND REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | GARY BLAKE Managing Member 817-348-8841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2012-07-09 |