| NPI | 1063021020 |
|---|---|
| Doing Business As | THE MEDICAL LODGE OF AMARILLO |
| Entity Type | Organization |
| Authorized Contact | SOON BURNAM Treasurer Of Management Company 949-540-1249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2023-12-26 |