| NPI | 1164406971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON M MCDONALD Administrator 806-828-6268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 110440) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2020-08-22 |