NPI | 1033972427 |
---|---|
Doing Business As | AVIR AT CITIZENS TRAIL |
Entity Type | Organization |
Authorized Contact | CLARK SANDERSON President 903-583-1854 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2024-01-30 |
Last Update Date | 2025-09-16 |