| NPI | 1134405566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEIZO DEVOTNAE ADKISON Chief Executive Officer 469-438-2574 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2011-10-31 |
| Last Update Date | 2011-10-31 |