| NPI | 1124038690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURA PANOS Accountant 817-444-2516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 125282) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-03 |