| NPI | 1013242783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIVEK S SASTRY President 972-312-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL ME105041) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty (Licence: FL ME105041) |
| 310400000X Assisted Living Facility (Licence: FL ME105041) | |
| Enumeration Date | 2009-10-13 |
| Last Update Date | 2010-08-25 |