NPI | 1659568459 |
---|---|
Entity Type | Organization |
Authorized Contact | SYLVIA L BRADLEY Owner 830-876-9021 |
Organization Subpart ? | No |
Primary Taxonomy | 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 148674) |
Enumeration Date | 2007-09-26 |
Last Update Date | 2007-09-26 |