NPI | 1265591838 |
---|---|
Entity Type | Organization |
Authorized Contact | ALICE CANTU Senior Director, Rco 254-215-9719 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 114672) |
Enumeration Date | 2006-12-08 |
Last Update Date | 2012-07-09 |