| NPI | 1245346154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI L BEARD Administrator 512-836-9172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 001004131) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |