NPI | 1073501771 |
---|---|
Doing Business As | SONGBIRD LODGE |
Entity Type | Organization |
Authorized Contact | SHAWN LEON CONLEY CFO 817-303-4089 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 109612) |
Enumeration Date | 2005-10-07 |
Last Update Date | 2010-04-27 |