Provider Demographics
NPI:1417587445
Name:HACO HEALTH SOLUTIONS LLC
Entity Type:Organization
Organization Name:HACO HEALTH SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:GRACEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-461-1007
Mailing Address - Street 1:6021 KOLTER LN
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:TX
Mailing Address - Zip Code:76065-6056
Mailing Address - Country:US
Mailing Address - Phone:512-461-1007
Mailing Address - Fax:
Practice Address - Street 1:1870 JOHN KING BLVD
Practice Address - Street 2:
Practice Address - City:ROCKWALL
Practice Address - State:TX
Practice Address - Zip Code:75032-6216
Practice Address - Country:US
Practice Address - Phone:972-722-7408
Practice Address - Fax:972-722-7011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-17
Last Update Date:2020-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility