| CL Haven Enterprises | |
|
4443 Loop 322 Abilene TX 79602-8056 | |
| (325) 514-8780 | |
| Not Available |
| Full Name | CL Haven Enterprises |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4443 Loop 322, Abilene, Texas |
| Authorized Official Name and Position | Cody Maness (OWNER) |
| Authorized Official Contact | 3255148780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| CL Haven Enterprises 4443 Loop 322 Abilene TX 79602-8056 | CL Haven Enterprises 4443 Loop 322 Abilene TX 79602-8056 Ph: (325) 514-8780 |
| NPI Number | 1669086963 |
|---|---|
| Provider Enumeration Date | 09/03/2020 |
| Last Update Date | 09/03/2020 |
| Certification Date | 09/03/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669086963 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
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