| NPI | 1598846412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIM PAWLOWSKI Owner 979-885-2937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 100852) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2009-12-11 |