| NPI | 1558352690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH WELCH Administrator 361-798-3268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 005297) |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2020-08-22 |