| NPI | 1124421979 |
|---|---|
| Doing Business As | MANDA ANN CONVALESCENT HOME |
| Entity Type | Organization |
| Authorized Contact | CHARLES PUTNAM Manager 972-818-7500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2014-10-22 |