| NPI | 1508248998 |
|---|---|
| Doing Business As | 23RD MANOR |
| Entity Type | Organization |
| Authorized Contact | TONI JENNINGS Administrator 806-441-7798 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 315P00000X Intermediate Care Facility, Intellectual Disabilities |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2024-09-09 |