Organization Name: | CLIFF HAVEN ADULT DAY HEALTH CARE INC |
NPI Number: | 1194931360 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHERI BETH CHONG (PRESIDENT) |
Mailing Address: | 2117 Roosevelt Dr Suite B Pantego |
State: | TX US |
Postal Code: | 760135936 |
Phone Number: | 8177958066 |
Fax Number: | 9722375964 |
NPI Enumeration Date: | 05/15/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | 118770 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |