| NPI | 1164404778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER MORROW Administrator 806-795-8792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 112129) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2020-08-22 |