NPI | 1417686239 |
---|---|
Doing Business As | THE SHOAL |
Entity Type | Organization |
Authorized Contact | DANIEL BONK CEO 979-413-7400 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2022-06-07 |
Last Update Date | 2022-06-07 |