| NPI | 1306080320 |
|---|---|
| Doing Business As | MERIDIAN MANOR |
| Entity Type | Organization |
| Authorized Contact | STEVEN LANGE Owner 325-247-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-07-23 |