| NPI | 1235237462 |
|---|---|
| Doing Business As | SOUTHAVEN NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | DEE BATES Owner 940-864-3619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 4917) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2008-10-07 |