| NPI | 1609846997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKE HAWKER CFO 210-582-3710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 114887) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2020-08-22 |