| NPI | 1558831347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN ASHLEY CUELLAR Executive Assistant 512-463-4909 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2018-12-05 |
| Last Update Date | 2018-12-05 |