| NPI | 1437134111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILL CASSTEVENS Administrator 817-237-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 110621) |
| Enumeration Date | 2005-12-14 |
| Last Update Date | 2019-07-17 |