NPI | 1356402515 |
---|---|
Entity Type | Organization |
Authorized Contact | VIRGINIA BETH IRWIN President 903-657-8969 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 116372) |
Enumeration Date | 2006-12-12 |
Last Update Date | 2015-08-21 |