NPI | 1376602607 |
---|---|
Entity Type | Organization |
Authorized Contact | JENNIFER LYNN CLEVELAND Business Office Manager 936-642-1221 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2006-12-06 |
Last Update Date | 2008-12-29 |