Provider Demographics
NPI:1891988374
Name:ROSEHAVEN RETIREMENT RESIDENCES, INC
Entity Type:Organization
Organization Name:ROSEHAVEN RETIREMENT RESIDENCES, INC
Other - Org Name:ROSEHAVEN RETIREMENT INN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:GREENSLADE
Authorized Official - Last Name:MANNING
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-288-5887
Mailing Address - Street 1:102 E NINTH ST
Mailing Address - Street 2:
Mailing Address - City:KAUFMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75142-3226
Mailing Address - Country:US
Mailing Address - Phone:214-288-5887
Mailing Address - Fax:972-669-9575
Practice Address - Street 1:102 E NINTH ST
Practice Address - Street 2:
Practice Address - City:KAUFMAN
Practice Address - State:TX
Practice Address - Zip Code:75142-3226
Practice Address - Country:US
Practice Address - Phone:214-288-5887
Practice Address - Fax:972-669-9575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX120140310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility