| NPI | 1104994144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAB WASHINGTON President, Board Of Hackberry Creek 806-347-2636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 102868) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2008-12-02 |