NPI | 1053700617 |
---|---|
Doing Business As | BRENTWOOD PLACE THREE |
Entity Type | Organization |
Authorized Contact | DAVID K BYROM CEO 254-248-6300 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2015-01-20 |
Last Update Date | 2022-03-16 |