NPI | 1063409977 |
---|---|
Entity Type | Organization |
Authorized Contact | STEWART POWERS Administrator 903-870-7000 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 008187) |
Enumeration Date | 2005-10-05 |
Last Update Date | 2020-08-22 |