| NPI | 1043788268 |
|---|---|
| Doing Business As | SONGBIRD LODGE |
| Entity Type | Organization |
| Authorized Contact | GRADY HOOPER Chief Executive Officer 254-386-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2020-10-09 |