| NPI | 1497712111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LABAN JOSEPH WRIGHT CEO 325-754-1317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 005158) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2024-10-29 |