| NPI | 1336135185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M BAKER Administrator 361-279-3860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 112118) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2020-08-22 |