| NPI | 1134269947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD L SANBORN Managing Member 832-717-5519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 4242) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |