| NPI | 1396039962 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE FOUST Administratve Supervisor 806-244-0015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: TX 4047495) |
| Additional Taxonomies | 282NR1301X General Acute Care Hospital, Rural (Licence: TX 4047495) |
| 314000000X Skilled Nursing Facility (Licence: TX 4047495) | |
| Enumeration Date | 2011-06-01 |
| Last Update Date | 2011-06-01 |