| NPI | 1003913773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN C MONCRIEF President 432-683-5403 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 004280) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2020-08-22 |