NPI | 1285679886 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN MICHAEL EWING President 817-857-1099 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 116015) |
Enumeration Date | 2006-06-18 |
Last Update Date | 2020-08-22 |