| NPI | 1427011188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERI SLONE President 325-658-6664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Mentally Retarded |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: TX 1014586) |
| 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: TX 1014587) | |
| 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: TX 1014588) | |
| 315P00000X Intermediate Care Facility, Mentally Retarded | |
| 315P00000X Intermediate Care Facility, Mentally Retarded | |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2007-07-10 |