| NPI | 1073521944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA FORD Interim Administrator 254-803-3561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: TX 000517) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2021-06-02 |