Provider Demographics
NPI:1114285111
Name:HYGIEIA RCH
Entity Type:Organization
Organization Name:HYGIEIA RCH
Other - Org Name:HYGIEIA RCH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACCOUNT MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MUNZER
Authorized Official - Middle Name:
Authorized Official - Last Name:HAQUE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-971-5593
Mailing Address - Street 1:3814 TIMBERLAKE DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-7727
Mailing Address - Country:US
Mailing Address - Phone:972-881-4374
Mailing Address - Fax:972-516-4952
Practice Address - Street 1:3814 TIMBERLAKE DR
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-7727
Practice Address - Country:US
Practice Address - Phone:972-881-4374
Practice Address - Fax:972-516-4952
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-26
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility