| NPI | 1437156171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON LYNN JANTZEN Administrator 806-793-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 4622) |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2007-08-30 |