| NPI | 1144301060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON PAWLOWSKI Owner 979-865-3145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 004648) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-06-13 |