| NPI | 1053074740 |
|---|---|
| Other Name | REUSE THIS NPI |
| Entity Type | Organization |
| Authorized Contact | SHAWN HOOVER Administrator 806-658-9786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2021-10-19 |
| Last Update Date | 2022-04-25 |