| NPI | 1609136944 |
|---|---|
| Doing Business As | AGNES DENT HOMES III |
| Entity Type | Organization |
| Authorized Contact | JAMES ERICH RYAN Administrator/Sole Proprietor 806-797-9859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness |
| Enumeration Date | 2012-05-21 |
| Last Update Date | 2012-08-16 |