| NPI | 1427044585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY M LUCKENBACH Administrator 830-997-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 114733) |
| Enumeration Date | 2005-09-23 |
| Last Update Date | 2020-08-22 |