| NPI | 1457408387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD SANBORN Owner 832-717-5519 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 314000000X) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-12-21 |