| NPI | 1588602676 |
|---|---|
| Other Name | VILLAGE CREEK NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | KEVIN BOLDT Administrator 817-429-1991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 112001) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-08-22 |