| NPI | 1316935182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY HOPKINS Medicare Manager 972-875-8411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 110537) |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2020-08-22 |