| NPI | 1184995037 |
|---|---|
| Doing Business As | LA VIDA SERENA NURSING AND REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | GARY BLAKE Managing Member 817-348-8959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2021-08-30 |