| NPI | 1407832223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIN DICKSON Regional Administrator 806-259-3566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 110939) |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2008-12-12 |