| NPI | 1194115733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW JAMES RAINWATER Executive Vice President 817-823-6125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 110089) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: TX 212165) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2015-02-04 |