| NPI | 1326408832 |
|---|---|
| Doing Business As | SHADY SHORES OF SAN SABA |
| Entity Type | Organization |
| Authorized Contact | MICHAEL WALLACE CEO 940-228-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2016-11-14 |