| NPI | 1003851528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERI LYNNE EWING President 817-857-1099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 111780) |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-08-22 |