| NPI | 1003038522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE CHRISTINE WEBB Physical Therapist Assistant 325-721-6086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 2060067) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2020-08-22 |