| NPI | 1588103238 |
|---|---|
| Doing Business As | TRAIL LAKE NURSING & REHABILITATION |
| Entity Type | Organization |
| Authorized Contact | TED MATTHEWS CEO 254-631-5342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2020-03-24 |