| NPI | 1568450971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MICHAEL SHAW Administrator 325-247-4115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 110706) |
| Enumeration Date | 2005-10-10 |
| Last Update Date | 2020-08-22 |