| NPI | 1205033750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD DWAIN FOWLER CEO 972-355-4956 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 004819) |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-08-22 |