NPI | 1649504036 |
---|---|
Entity Type | Organization |
Authorized Contact | ROY PUENTE CEO/President 806-591-0016 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 67-2080) |
Enumeration Date | 2009-10-01 |
Last Update Date | 2009-11-02 |