| NPI | 1184627093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD COTTRELL Executive Director 979-567-0920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 107880) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2010-01-25 |