| NPI | 1508127325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBIBA MACHARRY Administrator 832-628-7947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3140N1450X Skilled Nursing Facility Nursing Care, Pediatric |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-08-15 |