| NPI | 1164246898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM JORDAN President 580-430-3383 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2025-07-29 |