| NPI | 1396153367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: TX 19963) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: TX 19963) |
| 283X00000X Rehabilitation Hospital (Licence: TX 19963) | |
| 314000000X Skilled Nursing Facility (Licence: TX 19963) | |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2014-07-23 |