| NPI | 1093093882 |
|---|---|
| Doing Business As | EVENTIDE NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BUMPASS Member 254-399-6788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2011-11-21 |