| NPI | 1245326677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUZ NANCY RODRIGUEZ Registered Nurse 49984-183-4512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility, Nursing Care, Pediatric (Licence: TX 703449) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |