| NPI | 1013910587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG LOUDERMILK President Administrator 325-944-0561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 110002) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 110002) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2025-09-11 |