| 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 |