| NPI | 1558394056 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE L DEAPEN President 817-335-3030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 117489) |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2020-08-22 |