| NPI | 1568827624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANYA SCHLEMMER Nurse Practitioner, Owner 469-223-4170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 575039) |
| Additional Taxonomies | 310400000X Assisted Living Facility (Licence: TX 575039) |
| 311Z00000X Custodial Care Facility (Licence: TX 575039) | |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 575039) | |
| Enumeration Date | 2015-12-16 |
| Last Update Date | 2017-08-30 |