NPI | 1447708771 |
---|---|
Doing Business As | PILLSBURY MANOR SOUTH |
Entity Type | Organization |
Authorized Contact | PAUL BOETHEL Principal 972-728-8739 |
Organization Subpart ? | No |
Primary Taxonomy | 311ZA0620X Custodial Care Facility Adult Care Home |
Enumeration Date | 2016-09-15 |
Last Update Date | 2016-09-15 |