| NPI | 1144500984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE LYNETTE WATKINS Administrator 903-394-0071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 02182933) |
| Enumeration Date | 2011-08-25 |
| Last Update Date | 2011-08-25 |