| NPI | 1508931940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI A GATES CEO 936-336-7316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 275N00000X Medicare Defined Swing Bed Unit (Licence: TX 100072) |
| Additional Taxonomies | 275N00000X Medicare Defined Swing Bed Unit |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2011-04-18 |