| NPI | 1477694545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN HUNTER Business Office Manager 903-593-2463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 4734) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |