| NPI | 1316350507 |
|---|---|
| Doing Business As | MAE NO. 23 |
| Entity Type | Organization |
| Authorized Contact | EUGENE S BONDS Manager 806-543-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities (Licence: TX 007330) |
| Enumeration Date | 2014-06-05 |
| Last Update Date | 2014-06-05 |