| NPI | 1649777244 |
|---|---|
| Doing Business As | FOUR CORNERS HEALTH CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | KEN PITTS Director Reimbursement 832-467-6793 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 385H00000X Respite Care (Licence: CO 1292) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2022-02-16 |