| NPI | 1457341042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MCGANNON Administrator 210-435-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 5313) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2020-08-22 |