| NPI | 1407882822 |
|---|---|
| Doing Business As | MOUNTAIN VIEW LODGE |
| Entity Type | Organization |
| Authorized Contact | RONALD L SANBORN Managing Member 832-717-5519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 004921) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2020-08-22 |