| NPI | 1558472951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARK MOODY Administrator Owner 325-728-5247 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 111707) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: TX 676027) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-04-12 |