Autumn Haven Residential Facility

LBN: Autumn Haven Residential Facility
Autumn Haven Residential Facility is an health care organization with primary practice located at 2507 Earlcove Dr , Dallas TX 75227-7817. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Assisted Living Facility, Nursing & Custodial Care Facilities / Assisted Living, Mental Illness, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Nursing & Custodial Care Facilities / Assisted Living Facility is the primary health care specialty. Autumn Haven Residential Facility can be contacted via phone (469) 992-0389, or through Dennis, Alicia via phone (469) 254-1298.

Contact Information

Primary practice address
2507 Earlcove Dr Dallas TX 75227-7817
Phone: (469) 992-0389
Fax: (972) 637-9225
Website:
Map and Directions
Authorized official contact:
Name: Dennis, Alicia
Phone: (469) 254-1298

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X
Nursing & Custodial Care Facilities / Assisted Living, Mental Illness 3104A0625X
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X

Profile Details

NPI number 1710692736
LBN Legal business name Autumn Haven Residential Facility
DBA Doing business as
Authorized official Dennis, Alicia
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2023
Last updated Jan 16th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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