| NPI | 1235252578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY KAT YELDERMAN Owner 979-885-4657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 120199) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |