| NPI | 1003279928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MOMAN President 469-712-6025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 145129) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2020-06-11 |