NPI | 1265291447 |
---|---|
Doing Business As | MALLARD CREEK THERAPY AND LIVING CENTER |
Entity Type | Organization |
Authorized Contact | JOHNNY BOOTH THOMPSON Administrator 361-576-9454 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2024-03-18 |
Last Update Date | 2024-08-02 |