NPI | 1659357416 |
---|---|
Entity Type | Organization |
Authorized Contact | MUOI TRAN Administrator 940-574-4551 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 171259) |
Enumeration Date | 2005-12-22 |
Last Update Date | 2020-08-22 |