Provider Demographics
NPI:1043520430
Name:SAFEHAVEN HOSPICE OF DALLAS
Entity Type:Organization
Organization Name:SAFEHAVEN HOSPICE OF DALLAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RACHNA
Authorized Official - Middle Name:
Authorized Official - Last Name:AGARWAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-526-7814
Mailing Address - Street 1:3435 ASBURY STREET
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-1844
Mailing Address - Country:US
Mailing Address - Phone:214-526-7814
Mailing Address - Fax:
Practice Address - Street 1:3435 ASBURY STREET
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-1844
Practice Address - Country:US
Practice Address - Phone:214-526-7814
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-19
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based