| NPI | 1417440488 |
|---|---|
| Doing Business As | BROOKE HAVEN CARE HOME |
| Entity Type | Organization |
| Authorized Contact | TYRIN HOLT Specialist 817-308-1806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2018-06-13 |
| Last Update Date | 2022-07-21 |