| NPI | 1336199637 |
|---|---|
| Doing Business As | KNOB OAK |
| Entity Type | Organization |
| Authorized Contact | MARC F MUCKLEROY Administrator 210-680-6768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: TX 112949) |
| Enumeration Date | 2006-05-10 |
| Last Update Date | 2020-08-22 |