| NPI | 1205922671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER STEVEN PAWLOWSKI Owner 979-865-3689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 005151) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |