| NPI | 1306922133 |
|---|---|
| Doing Business As | EVENTIDE NURSING HOME, INC. |
| Entity Type | Organization |
| Authorized Contact | ENEDINA M DIAZ Administrator 325-372-5112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 117694) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2020-08-22 |