| NPI | 1447491675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA DULEM Administrator 210-736-4238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2009-06-23 |