| NPI | 1215977582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD AGNEW Authorized Official 512-565-6159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 140942) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2025-06-30 |