NPI | 1598036717 |
---|---|
Doing Business As | MISSION MANOR |
Entity Type | Organization |
Authorized Contact | DUDLEY MAX BUMPASS Secretary 903-389-1009 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Enumeration Date | 2012-01-19 |
Last Update Date | 2012-04-04 |