| NPI | 1053309575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DICK STEBBINS President Of General Partner 903-757-5360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 109618) |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies (Licence: TX 109618) |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: TX 109618) | |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2008-06-25 |