Healthcare Provider Details

I. General information

NPI: 1457045858
Provider Name (Legal Business Name): BHH OPERATIONS OF TEXAS 4 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2023
Last Update Date: 06/07/2023
Certification Date: 06/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5301 MEMORIAL DR
ABILENE TX
79606-4307
US

IV. Provider business mailing address

4811 HARDWARE DR NE STE D-1
ALBUQUERQUE NM
87109-2023
US

V. Phone/Fax

Practice location:
  • Phone: 325-271-4587
  • Fax: 325-271-4591
Mailing address:
  • Phone: 505-554-2702
  • Fax: 505-821-1834

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL W MANNING
Title or Position: MEMBER
Credential:
Phone: 505-977-3289