| NPI | 1649578642 |
|---|---|
| Doing Business As | MIRADOR |
| Entity Type | Organization |
| Authorized Contact | CHARLES BREWER CEO 469-916-8958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2011-03-01 |
| Last Update Date | 2011-03-01 |