| NPI | 1063419323 |
|---|---|
| Doing Business As | PEBBLE CREEK NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHAEL PERKINS Administrator 915-857-0071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 109836) |
| Enumeration Date | 2005-07-01 |
| Last Update Date | 2012-04-25 |