NPI | 1023138781 |
---|---|
Entity Type | Organization |
Authorized Contact | KIRBY GOBER CEO 940-849-2151 |
Organization Subpart ? | No |
Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: TX 000428) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2017-12-08 |