| NPI | 1336496280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINDA DARLENE FORBES Owner 325-455-4380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2012-08-09 |