| NPI | 1285920215 |
|---|---|
| Doing Business As | EBONY LAKE HEALTHCARE CENTER |
| Entity Type | Organization |
| Authorized Contact | MELANIE HENRY President 956-541-0917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |