| NPI | 1063469674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN ELLISOR Administrator Owner 903-792-3812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SL0600X Clinical Nurse Specialist, Long-Term Care (Licence: TX 115026) |
| Enumeration Date | 2006-05-28 |
| Last Update Date | 2012-02-29 |