| NPI | 1407102601 |
|---|---|
| Doing Business As | COPPERAS HOLLOW NURSING AND REHAB CENTER |
| Entity Type | Organization |
| Authorized Contact | BRIAN RAMOS Managing Member 801-601-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 134610) |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-07-25 |