| NPI | 1184709602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALKA PUNJABI Owner 512-272-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 001003452) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |