NPI | 1104910884 |
---|---|
Entity Type | Organization |
Authorized Contact | JOE B DAWSON President COO 830-758-1889 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 9337) |
Enumeration Date | 2006-10-03 |
Last Update Date | 2020-08-22 |