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Laurens Haven

Licensed Vocational Nurse in Richardson, TX. Organization (NPI-2).

NPI number1104569656
StatusActive
Last updated in NPPESFeb 22, 2023

Details

NPI
1104569656
Entity type
Organization (NPI-2)
Legal business name
Laurens Haven
Organization subpart
No
Enumeration date
Apr 13, 2022
Certification date
Feb 22, 2023
Last updated
Feb 22, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164X00000X Licensed Vocational Nurse––Yes
3747A0650X Technician, Attendant Care Provider––

Practice location

610 Towne House Ln
Richardson, TX 75081-3530

Phone 504-333-9969 · Fax 469-248-0051

Mailing address

Po Box 852513
Richardson, TX 75085-2513

Phone 504-333-9969 · Fax 469-248-0051

Authorized official

Catina Maria Saulsberry
Lvn/Ceo
5043339969

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