| NPI | 1407023518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS FREDERICK NICHOLSON President 832-489-9944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 124667) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: TX 001016152) |
| 314000000X Skilled Nursing Facility (Licence: TX 676068) | |
| 314000000X Skilled Nursing Facility (Licence: TX 5236) | |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2018-01-20 |