| NPI | 1548241466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBEL C. MCCORMACK Administrator 830-249-3085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 455796) |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2020-08-22 |